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Read DetailsThe nurse is assessing the client who is newly admitted to t…
The nurse is assessing the client who is newly admitted to the nursing home. The client has a history of falls, and is a 1 assist with transfers and ambulation. Which of the following findings would alert the nurse to take action? (Select all that apply).
Read DetailsPlease use the case study below to answer questions 90-95. C…
Please use the case study below to answer questions 90-95. Client History 74 year old client diagnosed with stage 4 lung cancer with metastasis to the brain and liver. Client lives with son and his family, who are his main caregivers at home. Clients advanced directive states that he does not want CPR, intravenous fluids, antibiotics, a feeding tube, or hospitalization at the end of life. The son is his health care proxy. Nurses Note Client sitting in recliner. Awake and confused, and insists he needs to go see his wife, who has been deceased for 15 years. Son states is very concerned because the client has become more agitated over the past two days and is not sleeping at night. Client skin is hot and pale, oral mucosa dry. Breath sounds diminished throughout with coarse rhonchi on the right. Productive cough with large amounts of thick, white sputum. Client reports terrible pain in his back that is not being relieved by his current pain medication. Taking sips of water, but refuses food and reports having no appetite. Vital Signs Blood Pressure 106/54 Heart Rate 90 irregular Temperature 100.6 F (38.22 C) Respiratory Rate 18 SpO2 92% on 2L oxygen continuously via NC Question: After the nurse completes the client assessment, which of these interventions should be done immediately?
Read DetailsPlease use the case study below to answer questions 90-95. C…
Please use the case study below to answer questions 90-95. Client History 74 year old client diagnosed with stage 4 lung cancer with metastasis to the brain and liver. Client lives with son and his family, who are his main caregivers at home. Clients advanced directive states that he does not want CPR, intravenous fluids, antibiotics, a feeding tube, or hospitalization at the end of life. The son is his health care proxy. Nurses Note Client sitting in recliner. Awake and confused, and insists he needs to go see his wife, who has been deceased for 15 years. Son states is very concerned because the client has become more agitated over the past two days and is not sleeping at night. Client skin is hot and pale, oral mucosa dry. Breath sounds diminished throughout with coarse rhonchi on the right. Productive cough with large amounts of thick, white sputum. Client reports terrible pain in his back that is not being relieved by his current pain medication. Taking sips of water, but refuses food and reports having no appetite. Vital Signs Blood Pressure 106/54 Heart Rate 90 irregular Temperature 100.6 F (38.22 C) Respiratory Rate 18 SpO2 92% on 2L oxygen continuously via NC Question: The priority education for the family would include which of the following?
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