Answer Happy

A nurse is caring for a dient who has pneumonia Complete the following sentence by using the list of options. biti Exhibit Exhibit The nurse should Identity that the client might be experiencing Select as evidenced by the diene's Select VitalSigns 0800: Heart rate 109/min Respirations 26/min BP 125/65 mm Hg Temperature 39.2°C (102.6" F) Oxygen saturation 95% 1200: Heart rate 94/min Respirations 18/min BP 115/65 mm Hg Temperature 37.8°C (100) Oxygen saturation 96% CONTINUE PREVIOUS
Anurse'is caring for a dient who has pneumonia Complete the following sentence by using the list of options. Exhibit 2 Thomhnuile antichut the client might be experienang evidenced by the clients urinary tract infection Medication Administration Record • 0.45% sodium chloride IV at 125 ml/ht • Vancomycin 1 g intermittent IV bolus every 12 h • Acetaminophen 650 mg PO every 6 hr PRN temperature greater than 38,3* C(101"F) . • Codeine 20 mg PO every 4 hr PRN cough extravasation . CONTINUE PREVIOUS
Exhibit Exhibit Calat The nurse should identify that the client might be experiencing evidenced by the client's Select une appearance . I catheter te temperature Nurses Notes 0800 Oriented to person, place, and time. Appears fatigued. Diaphoretic, febrile. Reports not sleeping will last night due to *coughing a lot. Moves all extremities well. Tachycardia. All pulses palpable. Reports chest discomfort with coughing • Respirations 26/min, shallow. Auscultation reveals diminished breath sounds and bilateral crackles. Pulse oximetry 95% on 022 L via nasal cannula. Hypoactive bowel sounds present in all four quadrants. States tolerating diet with no nausea or vomiting but has no appetite, • Client states voiding using the bedside commode with no difficulty. Output of 500 mL clear, yellow urine flushed • IV infusing to right arm, no noted redness or irritation at site. Acetaminophen administered for temperature. 1200 • States feeling better following administration of acetaminophen • Vancomycin infusion started. .