Health care in Canada is delivered through a publicly funded

During discharge teaching the client states he is feeling dizzy, has pain in his side and feels like he is going to vomit. Nurse assesses his vital signs and notes low blood pressure, increased pulse, flank pain, and that patient has not voided post procedure. Oxygen saturation is 92% on 2 liters per minute (L/min) of oxygen. The healthcare provider (HCP) is informed and orders are received and documented in the electronic medical record (EMR). The nurse increases the nasal cannula oxygen rate to 4 L/min, applies the prescribed bubble humidifier unit, and finishes administering the IV sodium chloride 0.9% bolus per the HCP orders. A straight cath urine is obtained for urinalysis and culture with sensitivity. Blood is drawn for a STAT CBC. A kidney ultrasound is also scheduled per the HCP orders. Which action is important for the nurse to do next? Document interventions and response to ordered interventions. HCP should be informed of client’s response and lab results. Measure total input and output of this client. Order the client a meal tray and provide water. Encourage the client to sit in a bedside chair.

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