On day 14, the client returns to the clinic and his HCP sent…
On day 14, the client returns to the clinic and his HCP sent him to the hospital due to a dry cough, difficulty “catching his breath,” States he is sleeping in a recliner because of his SOB when laying down in bed. Reports lack of appetite, thirst, and getting up twice per night to urinate. Assessment: Cardiac- Regular, tachycardia, 4+ pitting pedal edema bilateral Resp- Lungs crackles bilaterally Neuro- Alert and oriented x4, anxious GI- Abd. soft non-tender positive bowel sounds x4 Skin- Warm, dry, intact GU- Frequent urination clear yellow Vital signs: Temp 98,6 F, Pulse 110 reg, RR 22, BP 170/100, O2 sat 94 % Room air Which of the following orders would be appropriate for the nurse to perform in response to the patient’s assessment? SELECT ALL THAT APPLY