[Answered]: I need help in here please

I need help in here please. Thanks Vital signs: T= 38.20C, PR=112/min RR=28/min BP=106/52 mm of Hg (usual SBP of client is 130s) SaO2=92% room air Pain: 6 out of 10 around flank area; aggravated with coughing Investigations: Chest XRAY= NAD CT of the abdomen= NAD, Complete blood count shows the following WBC = 23 x 109 cells/L [normal = 4.5-11 x 109 cells/L] RBC =3.5 x 1012 per Litre [normal = 4.1-5.1 x 1012 cells/L] HB= 113 g/L [normal: 123-153 g/L] Hematocrit=0.767g/L [normal: 0.37 to 0.44 g/L] Urinalysis (IMC sample) = leucocytes +++ and Protein +++, dark colour, PH acidic, Specific gravity raised. Plan of care: • 4 hourly vital signs, neurological observation, urinalysis and CAM Tool • IV antibiotics, analgesics (PRN only) • Oxygen: 1-4 Litres/minute to maintain a target of SaO2 > 92% • Renal Function test and CBC- 2nd daily • TLC Martha is an 83-year-old Mauritian lady who is admitted to hospital with possible Urinary tract infection. Martha is taking medications for hypertension, hyperlipidaemia, and urinary retention. She has a history of recurrent UTIs (approximately 2-3 hospitalisations per year for UTIs) and obesity. Martha also complained of pain and swelling in her right hand which appeared 1 week ago. Yesterday morning, Martha started showing behaviours which is not who she is. Martha refused to get out of bed and appeared to be confused and disoriented. This was noted by the health care staff from a community service who were assigned to assist Martha with her ADLs. She was brought to hospital today. Martha is confused at times and is very anxious regarding her disease, its prognosis, hospital stay, and her presumed forthcoming discharge to an aged care facility. She can understand English if it is spoken slowly and can respond using broken words. She lives alone at home and all her relatives live far away. She uses reading glasses, and her hearing is good. She is obese and has walking difficulties. She ambulates using a four-wheel frame (4WF) with assistance. Therefore, she is a high falls risk and needs assistance in performing activities of daily living (ADLs). She has an intravenous cannula in her right cubital fossa (inserted in the Emergency department). Martha is vegetarian and prefers to have a late dinner after 8 pm. Martha is allergic to Penicillin and develops anaphylaxis if administered. Martha was reviewed by the doctors in the emergency department and the following plan of care was advised until a detailed review by the consultant team is done.