A client diagnosed with a pulmonary embolism is placed on a continuous Heparin infusion. A nurse should notify the health care provider for which of the following findings?

A. When asked about your strengths and weaknesses, focus primarily on your strengths. While highlighting strengths is important, interviewers also value self-awareness and the ability to recognize areas for improvement. Providing a well-balanced answer that includes a genuine weakness and how you are working to improve it demonstrates professionalism and a growth mindset.
B. Ask questions about the salary. While salary is an important consideration, bringing it up too early in the interview may give the impression that financial compensation is the primary concern. It is generally best to wait until the employer brings up salary or discuss it once a job offer has been extended.
C. Place your portfolio containing your resume on the interviewer's desk. Offering a resume or portfolio when asked is appropriate, but placing it on the interviewer’s desk without being invited to do so may come across as overly assertive. A more professional approach is to hand over documents when requested or when relevant to the discussion.
D. Ask questions about the position and the facility. Asking thoughtful questions about the role, work environment, team structure, and opportunities for growth shows genuine interest in the position. It also helps the candidate assess whether the job aligns with their professional goals. Engaging in meaningful dialogue makes a positive impression on the interviewer.

• Respiratory Rate: LTB, Epiglottitis, Foreign Body Aspiration. An increased respiratory rate (tachypnea) is common in both conditions due to airway obstruction and respiratory distress. In epiglottitis, inflammation and swelling of the epiglottis severely restrict airflow, leading to tachypnea. Similarly, foreign body aspiration can cause partial obstruction, increasing respiratory effort and rate. Increased respiratory rate is a significant finding in LTB due to airway narrowing and respiratory distress. The body compensates for the partial airway obstruction by increasing ventilation. However, tachypnea in LTB is usually not as severe as in epiglottitis or foreign body aspiration, where airway obstruction is more critical.
• Irritability: LTB, Epiglottitis, Foreign Body Aspiration. Irritability is a common symptom in all three conditions due to hypoxia and respiratory distress. In LTB (croup), inflammation leads to airway narrowing, causing discomfort and restlessness. In epiglottitis, the rapid onset of airway swelling results in agitation. Foreign body aspiration also causes significant distress due to the sudden obstruction of airflow.
• Drooling: Epiglottitis, Foreign Body Aspiration. Drooling is characteristic of epiglottitis because the client cannot swallow due to severe throat pain and airway swelling. It is also seen in foreign body aspiration when an object is lodged in the airway or esophagus, making swallowing difficult. Drooling is not a typical feature of LTB, where coughing and stridor are more prominent.
• Fever: LTB, Epiglottitis. Both LTB and epiglottitis are caused by infections and present with fever. In LTB, viral infections like parainfluenza commonly cause a low-to-moderate fever. Epiglottitis, often caused by bacterial infections such as Haemophilus influenzae type B (Hib), typically presents with a high fever, as seen in this case. Foreign body aspiration is not associated with fever unless secondary infection develops.
• Immunization Status: Epiglottitis. Epiglottitis is strongly linked to Haemophilus influenzae type B (Hib), a bacteria preventable by routine childhood vaccination. In unvaccinated individuals or those with incomplete immunization, epiglottitis is more likely to occur. Immunization status does not directly correlate with LTB (which is viral) or foreign body aspiration.