This is a Stand-Alone Trend item that presents clinical information over * 1 point time. Review information at all time points presented looking for upward and downward trends. Determine what the trend means for the client.Specifically, this is a Drop-Down Cloze question. Complete the sentence or fill-in-the-blank by choosing from a list of drop-down options and selecting the correct option.The nurse reviews the medical record of a 54-year-old client admitted with a blood alcohol concentration (BAC) of 0.24% (serum ethanol level of 240 mg/dL [52.1 mmol/LI).Nurses’Flow SheetPhysician’s OrdersLab TestsNotes0330: Admitted to ED accompanied by children who state the client has been drinking every night since the spouse died last year from breast cancer. Medical history includes Stage 2 chronic kidney disease and hypertension. Client disoriented, has an ataxic gait, and is extremely drowsy. Speech slurred; irritable and disoriented. IV of 5% D/0.45 NS initiated.0430: Very drowsy, disoriented, increasingly irritable with slight hand tremors. Vomited100 mL clear greenish yellow liquid.0530: Becoming more agitated and yelling at staff. Disoriented and drowsy; speech continues to be slurred. Hand tremors worsening. Vomited 75 mL clear greenish liquid; obtained order for ondansetron and administered x 1. Has not voided since admission.Complete the following sentence by selecting from the lists of options below.The priority nursing action is to monitor the client for- andwhich are commonly associated withNurses’ NotesFlow SheetPhysician’s OrdersLab TestsVital Signs0330 (Admission)04300530T (forehead)96.8deg F (36deg C)96.8deg F (36deg C)97.2deg F (36.2deg C)HR62 BPM64 BPM64 BPMRR14 bpm14 bpm16 bpmBP100/58 mmHg102/54 mmHg106/58 mmHg
[Solved]: This is a Stand-Alone Trend item that presents…
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