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A nurse is caring for an older adult client in the emergency department. Which of the following findings require immediate follow-up? Select all that apply. Current vital signs: Temperature 39.3° C (102.8° F) Heart rate 93/min Respiratory rate 24/min Blood pressure 88/58 mm Hg Oxygen saturation 95% on room air Medical History: Older adult client, lives with family. Family states the client is normally alert and oriented but began to display confusion over the last 6 hr and has a new onset of incontinence. Client reports dizziness and constant low back and flank pain. Urinalysis: Appearance: cloudy                                                 Color: dark amber                                                    Odor: foul                                                                  pH: 8.0                                                                      Protein: 6.5 mg/dL                                                  Specific gravity: 1.035                                            Leukocyte esterase: positive                                 Nitrates: present                                                   Ketones: none                                                         Glucose: none                                                         White blood cells: 8                                            Red blood cells:  1                                               

A student has joined the marching band at his high school. The band begins lunch-time practices outside in mid-August. This student and other band members need to be instructed that

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Identify the appropriate interventions for a client with hypovolemia. Select all that apply.

A client who is scheduled from a hernioplasty needs clarification regarding the procedure. The RN calls the physician at the client’s request. The physician, who is in a bad mood, is overheard telling the client that the RN doesn’t know anything.” What legal tort has the physician committed?

The nurse is giving palliative care to a client with a diagnosis of COPD. What is the goal of palliative care?

An emergency room nurse is assessing a toddler with multiple bruises and burns. The nurse suspects the toddler has been abused. What is the role of the RN?

Which of the following solutions is a crystalloid solution that has the same osmotic pressure as that found within the cells of the body and is used to treat hypotension or hypovolemia?

What is the major effect of a health crisis on family structure?

Which of the following older adult clients needs to increase their daily fluid intake? Assuming 3 meals per day, one who typically drinks: