The nurse is monitoring a patient following a complicated appendectomy approximately 12 hours prior. The patient’s vital signs read: respiratory rate 26, heart rate 122, blood pressure 94/60, and \(O_2\) 92%. The nurse is concerned the patient may be developing acute respiratory distress syndrome (ARDS). Which of the following additional assessment findings support the nurse’s concern?
CVA tenderness, abdominal distension, and dyspnea
absence of breath sounds in bilateral lower lung lobes and asymmetric lung expansion
feeling of doom, anxiety, and short, shallow breaths
wheezing, expiratory grunting, and jugular venous distention
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