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  Nurses NotesVital SignsDiagnostic Results 1000:1 unit of p…

Posted byAnonymous October 3, 2025October 3, 2025

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  Nurses NоtesVitаl SignsDiаgnоstic Results 1000:1 unit оf pаcked RBCs started through a 18 g IV in right hand as prescribed. Unit of blood infusing well. IV site dry and intact, without redness or swelling.1015:Client appears anxious and reports a headache and low back pain. Client voided 100 mL of brown-colored urine. Bilateral breath sounds clear and present throughout.1000:Temperature 37.2º C (99º F) Blood pressure 106/56 mm Hg Heart rate 104/min Respiratory rate 20/min Pulse oximetry 96% on room air1015:Temperature 39.6º C (103.3º F) Blood pressure 74/50 mm Hg Heart rate 124/min Respiratory rate 28/min Pulse oximetry 95% on room air0900:Hct 27% (37% to 47%)Hgb 8 g/dL (12 g/dL to 16 g/dL)WBC 7,000/mm³ (5000 to 10,000/mm³)Potassium 4.2 mEq/L (3.5 mEq/L to 5 mEq/L)  Based on the information noted above, which of the following findings requires further action? Select all that apply

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