The nurse is caring for a 61-year-old client in the emergency department who is accompanied by their wife. Client reports nausea and vomiting for the past 4 days. Wife reports the client is quickly gaining weight despite eating less from a loss of appetite. Denies having abdominal pain. The client is experiencing some shortness of breath but denies chest pain. Wife also reports the client has decreased urinary output that is dark amber in color. Client has no significant past medical history. They smoke 1 pack of cigarettes per day for over 25 years. Which of the following assessment findings would require follow-up? Select all that apply A Decreased urinary output B S1 and S2 heart sounds heard C RR 22, BP 141/87 D Lethargy E Mild crackles in right lower pulses F 3+ radial and dorsal pedal pulses G No orientation to time H Nausea and vomiting I HR 98, T36.7 C (98.1 F) O2 saturation 98% on room air J Dark amber urine
[Solved]: The nurse is caring for a 61-year-old client in the…
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