A nurse is carding for a client on an oncology unit: His…
Questions
A nurse is cаrding fоr а client оn аn оncology unit: History & Physical: A 59-year-old client was admitted to the hospital. Client reports not feeling well during the last 24 hr. History of hypertension and esophageal cancer, currently undergoing chemotherapy. Last chemotherapy treatment was 5 days ago. Vital Signs Vital Signs Day 1, 1230 Blood pressure 122/68 mm Hg Heart rate 72/min Respiratory rate 16/min Oxygen saturation 99% on room air Temperature 36.6° C (98° F) Day 4, 0700 Blood pressure 98/52 mm Hg Heart rate 98/min Respiratory rate 24/min Oxygen saturation 96% on room air Temperature 36.4° C (97.6° F) Diagnostic Results Diagnostic Results Day 1, 1230 Hemoglobin 12.5 g/dL (12 to 16 g/dL) Hematocrit 37% (37% to 47%) WBC 5,500/mm3 (5,000 to 10,000/mm3) Absolute neutrophil count (ANC) 2,700/mm3 (2,500 to 8,000/mm3) Platelets 145,000/mm3 (150,000 to 400,000/mm3) Potassium 3.8 mEq/L (3.5 to 5.0 mEq/L) Sodium 138 mEq/L (136 to 145 mEq/L) Calcium 10.0 mg/dL (9.0 to 10.5 mg/dL) Creatinine 1.0 mg/dL (0.5 to 1.2 mg/dL) BUN 16 mg/dL (10 to 20 mg/dL) Day 4, 0700 Hemoglobin 9.5 g/dL (12 to 16 g/dL) Hematocrit 34% (37% to 47%) WBC 5,000/mm3 (5,000 to 10,000/mm3) Absolute neutrophil count (ANC) 2,500/mm3 (2,500 to 8,000/mm3) Platelets 40,000/mm3 (150,000 to 400,000/mm3) Potassium 4.0 mEq/L (3.5 to 5.0 mEq/L) Sodium 141 mEq/L (136 to 145 mEq/L) Calcium 10.1 mg/dL (9.0 to 10.5 mg/dL) Creatinine 0.7 mg/dL (0.5 to 1.2 mg/dL) BUN 17 mg/dL (10 to 20 mg/dL) Nurses' Notes: Day 1, 1030: Client is alert and oriented. Rates pain as 5 on a scale of 0 to 10. Reports feeling tired and generalized weakness. Lung sounds clear, no adventitious sounds noted. Bowel sounds active x 4 quadrants, abdomen soft. Skin warm, dry, and intact. Posterior tibial and dorsalis pedis pulses present. 2+ edema noted to legs bilaterally. Day 4, 0700: Client is alert and oriented. Rates pain as 4 on a scale of 0 to 10. Lung sounds clear, no adventitious sounds noted. Bowel sounds hypoactive x 4 quadrants, abdomen soft. Skin warm, dry, and intact. Bruising noted around blood pressure cuff site. Posterior tibial and dorsalis pedis pulses present. No edema noted to legs bilaterally. Up to bathroom independently. Client reports tasting blood after brushing teeth. Stool appears to be black in color. Which of the following health care provider orders should the nurse anticipate when planning care for this client? Select all that apply.