You are the nurse manager of a 15-bed step-down unit
CHIEF COMPLAINT: Fever, chills PRESENT ILLNESS: Patient is an 82-year-old resident of a nursing home. I was called on the evening of admission because his temperature had gone to 102; he had become less responsive and was not doing well. The patient has had multiple recent hospital admissions. He has become increasingly senile and has required sedation. Apparently, his fever came on relatively suddenly. He had increased difficulty with food and fluids over the past several days. Three days prior to admission, I was called and told he had a large amount of thick, tenacious sputum in the back of his throat. The sputum was cultured and he was placed on a cephalosporin. The patient’s condition worsened and necessitated transfer to the emergency room. There, various tests were done and the ER physician felt he possibly had some pneumonic infiltrates. His urine showed increased white cells and was nitrate positive, consistent with a urinary tract infection. There were > 100 wbc/hpf. In addition to this, his BUN was up to 50, his creatinine was 1.6, and his potassium 144, so he had a moderate amount of dehydration. If POAs are required, how many diagnoses have an “N” assigned? Group of answer choices 1 2 3 0
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