SOLVED624

A nurse on an antepartum unit is planning care for the client Exhibit 1 Vital Signs Initial visit, 1330: Heart rate 110/min Respiratory rate 18/min Blood pressure 104/66 mm Hg Temperature 36.6° C (97.9° F) Oxygen saturation 99% on room air 9-week visit, 0955: Heart rate 116/min Respiratory rate 20/min Blood pressure 92/50 mm Hg Temperature 6.5 deg * C(97.7 deg * F) Oxygen saturation 97% on room air Exhibit 2 Nurses’ Notes Initial visit, 1340: 29-year-old gravida 2, para 0 client presents with report of a positive home pregnancy test from 2 weeks ago. Last menstrual period was 7 weeks ago. Urine human chorionic gonadotropin (hCG) positive. Client reports vomiting several times a day over the last 2 weeks and states, “I’m a vegetarian and I don’t usually eat a lot of protein, but it’s still hard to keep anything down.” Decreased skin turgor noted, oral mucous membranes moist. Weight 79.4 kg (175 lb). 9-week visit, 1000: Client returned to clinic for follow-up visit after initial prenatal appointment 2 weeks ago. Client reports continued nausea and recurrent episodes of vomiting every day. Has been unable to complete work or sleep well at night due to nausea and vomiting. Poor
SCIENCE
HEALTH SCIENCE
NURSING

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