Obtain the client\ s vital signs and assess breath sounds.-rationale: the nurse should assess the client to see why his condition has changed since discharge. after assessment, the nurse should notify the physician of the change in the clients condition. the nurse shouldnt just obtain vital signs and administer the antibiotic without further assessing the client. its inappropriate for the nurse to begin a teaching session when the client isnt physically able.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 241.
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