A nurse is caring for a client in an emergency

A nurse is caring for a client in an emergency department. Click to highlight the findings that require immediate follow-up with the provider. To deselect a finding, click on the finding again. Exhibit 1 Exhibit 2 Nurses’ Notes Nurses’ Notes 1500: 1500: Client transported to emergency department via ambulance. Client’s partner is present and reports that client became increasingly drowsy, confused, and Client transported to emergency department via ambulance. walking unsteadily over the past 24 hr. Client’s partner is present and reports that client became History of heart failure and rheumatoid arthritis. Home medications: lisinopril increasingly drowsy, confused, and walking unsteadily over the and aspirin. past 24 hr. Client reports headache, ringing in ears, and feeling dizzy. Client oriented to person. Lethargic, diaphoretic, and vomiting. History of heart failure and rheumatoid arthritis. Home 1530: medications: lisinopril and aspirin. Client is obtunded. Difficult to awake and client’s speech is mumbled. Client reports headache, ringing in ears, and feeling dizzy. Client oriented to person. Lethargic, diaphoretic, and vomiting. Vital Signs hs 1530: 1530: Temperature 39.1. C (102.3. F) Client is obtunded. Difficult to awake and client’s speech is Heart rate 116/min Respiratory rate 34/min mumbled. Blood pressure 100/60 mm Hg Oxygen saturation 93% on room air

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