You are responding to a 54-year-old female patient in respiratory distress. the patient is on home oxygen by nasal cannula at 11pm. the patient has diminished lung sounds bilaterally with wheezes. she appears malnourished and has a barrel chest. the patient is alert and oriented to time, place, and person. her vital signs are blood pressure of 150/70, pulse of 90, respiratory rate of 24, and oxygen saturation of 92 percent. the patient is on several medications including an albuterol inhaler. after you perform your primary assessment, what should be your next step

Mrs. kirby, 58, is a moderately active woman. she works in the garden almost daily, occasionally walks with her friends, and babysits her three very active young grandchildren every weekend. she eats a fairly standard diet every day: she has cereal with milk and coffee for breakfast, some kind of salad for lunch, and a piece of meat or fish with a healthy of veggies for dinner. she usually skips desserts or has just a couple of strawberries. when asked to look at the food labels and calculate her intake of carbohydrates, fats, and proteins in grams over the entire day, on an average day, she came up with the following numbers: carbohydrates: 243 g fats: 41 g proteins: 63 g calculate what percentage of mrs. kirby's total energy intake came from carbohydrates.