SOLVED3905

6. A nurse is assisting in the care of a client in the emergency department (ED). Vital Signs 0800: Temperature 37.3° C (99.2° F) Pulse rate 122/min Respiratory rate 26/min Blood pressure 112/78 mm Hg Oxygen saturation 95% on room air Physical Examination 0830: Client disoriented to time and place, agitated Sinus tachycardia Respirations labored. Lung sounds clear. Bowel sounds x 4 normoactive Incontinent of urine Plan: Admit for observation Begin broad spectrum antibiotic Acetaminophen for temperature greater than 38.9° C (102° F) Complete blood count Straight catherization to obtain urine specimen for urinalysis and culture and sensitivity (C&S).
SCIENCE
HEALTH SCIENCE
NURSING

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