Based on the findings in the health record of a
Based on the findings in the health record of a patient who completed the first round of chemotherapy a week ago for the treatment of breast cancer, which action will the nurse take first? Search X My Evolve – Evolve Elsevier Adaptive Qui Assessment Data • Alert and oriented to person, place, time, and situation • Pupils equal, round, and reactive to light and accommodation (PERRLA) • Skin turgorfair • Lung sounds have diminished bases • Bowel sounds hypoactive Mild nausea • Temperature 97.5°F (36.3°C) • Heart rate 84 beats/min • Respirations 14 breaths/min • B lood pressure 123/80 mm Hg • xygen saturation 97% room air • Pain level of 6 on a scale of 1 to 10 Laboratory Results • Glucose 89 mg/dL Sodium (Na”) 135 mEq/L Chloride (C1″) 97 mEq/L Potassium (K”) 3.6 mEq/L • Blood urea nitrogen (BUN) 15 mg/dL Creatinine 0.8 mg/dL • cells/mm” White blood cells (WBCs) 1.7 Red blood cells (RBCs) 3.5 cells/mm³ Hemoglobin (Hgb) 10.0 &/dL Hematocrit (Hct) 29% • Platelets 148,000 cells/mm³ Elsevier Adaptive Qu X Sherpath Medication Administration Record (MAR) IV 0.9% NaCl 125 ml/hr • Ondansetron 4 mg IV push every 6 hours PRN • Acetaminophen/hydrocodone 325/5 mg 1 tablet orally every 4 hours PRN • Ceftriaxone 1 g lV piggyback every 24 hours
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