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This document has been uploaded by a student, just like you, who decided to remain anonymous.The nurse must understand physiology to be able to state the WHY and clinical significance of the following symptoms that identify SIRS which is defined as 2 or more of the following: Fever of more than 38°C (100.4°F) or less than 36°C (96.8°F) Heart rate of more than 90 beats per minute. Respiratory rate of more than 20 breaths per minute.“Keith writes in the same fashion that he practices nursing: with excellence, passion, and a pure unadulterated fervor for the profession. Keith generously shares his nursing knowledge and lived experiences within the context of evi-dence-based knowledge and practices, while simultaneously urging the reader to self-examine his or her individualFor example, the question I use throughout my case studies, "What clinical data are relevant and must be noticed as clinically significant by the nurse? 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