SOLVED1875

A nurse is assisting with the care of a client in the emergency department (ED). Medical History Client reports a 3-day history of nausea, vomiting, and diarrhea. The client states that they have been unable to “keep even water down” for the last 24 hr. Vital Signs 0800: Temperature 38.3° C (101° F) Blood Pressure 104/60 mm Hg Heart rate 99/min Respiratory rate 20/min Oxygen saturation 95% on room air Nurses’ Notes 1000: Temperature 38.7° C (101.7° F) Blood pressure 88/50 mm Hg Heart rate 112/min Respiratory rate 24/min Pulse oximetry 94% on room air Provider Prescriptions Supplemental oxygen for oxygen saturation less than 95% Start a peripheral IV Administer 500 mL 0.9% sodium chloride IV bolus then infuse at 125 mL/hr Obtain a serum potassium level Obtain daily weights Strict intake and output Administer acetaminophen 650 mg PO every 6 hr for temperature greater than 38.6° C (101.5° F).
SCIENCE
HEALTH SCIENCE
NURSING

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