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Derek Smith, a 75 year old male, has been admitted to the medical ward with pneumonia. He has been feeling generally unwell and coughing for the past two weeks. When you come in to see him, he is sitting up in bed. Mr Smith has an audible inspiratory wheeze.   Other clinical data include: Temperature: 38.5 0C, Respiration rate: 24 breaths/min, Oxygen saturation: 95% on Oxygen mask 5L/min, skin colour: pink.   

Question 1 : Select 3 signs OR symptoms from above. Justify/explain the underlying pathophysiology for each selected sign or symptom, using current evidence-based literature.  

Question 2 : Based on the assessment data stated above, identify TWO priority problems.   Briefly explain how each identified problem relates to the patient's assessment data?

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