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February 19, 2025 9 mins

Teniah was admitted to the acute care hospital with community-acquired pneumonia. She reports shortness of breath and fatigue. Auscultation reveals decreased breath sounds in the right lower lobe, and SpO₂ drops from 95% to 88% with exertion. Resting vital signs: HR 92 bpm, BP 142/86 mmHg, RR 22 breaths per minute. Which finding requires the MOST immediate communication with the medical team?

A) Decreased breath sounds in the right lower lobe

B) Blood pressure of 142/86 mmHg

C) Resting respiratory rate of 22 breaths per minute

D) Oxygen desaturation to 88% with exertion

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