[Verified Answer]: The nurse completes the assessment on Sara

The nurse completes the assessment on Sara. The infant is alert and calm. Her color appears as expected for her skin tone, except her mucous membranes and nailbeds are a pale bluish tone. The infant presents with mild subcostal retractions, capillary refill in her toes bilaterally is greater than three seconds, and she has a loud murmur. Vital signs are temperature, 36.7 ̊C (98 ̊F); respirations, 50/min; heart rate, 168 /min; and oxygen saturation, 90% on room air. The nurse initiates oxygen at 0.5L/min via nasal cannula, which increases the infant’s oxygen saturation to 92%.Which of the following concerns should the nurse address while providing client care? (Select all that apply.) Physiological: Nutrition Physiological: Gas Exchange Physiological: Perfusion Health Promotion: Growth and Development Physiological: Thermoregulation Physiological: Pain Physiological: Sensory Physiological: Fluid and Electrolyte