Assignment task:
The client is a 78-year-old female who arrived on the medical-surgical floor around 0900-admission assessment was completed upon arrival Vital signs are posted in the flowsheet. She came via emergency medical services from a skilled nursing facility with confusion and a slight fever She has a history of hypertension, congestive heart failure, hyperlipidemia, frequent urinary tract infections, and dementia. She has an allergy to strawberries, is a full-code, and is being admitted with a urinary tract infection She is alert and oriented to person, bed-bound, with 2+ pitting edema in her ankles and feet, heart sounds have s1, 32 and s3 (a slight murmur is heard at the apex of the heart), pulses are 2+ in all extremities, and there are slight crackles in the lung bases. Incontinent of urine No pain, no wounds, 20 gauge IV in her right antecubital from today. Placed in the emergency department. The urine culture obtained showed positive for white blood cells and bacteria Blood cultures were obtained in the emergency department, waiting on results. Review the electronic health record. Which two findings require immediate follow-up from the nurse? Select 2 findings. A. Slight crackles in lung bases B. Blood pressure of 148/98mmHg C. Pulse oximetry of 92% on room air D. Heart murmur E. Incontinent of urt F. Pulses 2+ In all extremities G. Alert and oriented to person H. 2+ pitting edema in ankles and feet. Need Assignment Help?