[Solved]: The nurse is caring for a 21-year-old female client…

The nurse is caring for a 21-year-old female client who is a college student and presents with fever, sinus infection, and a severe headache. Nurses’ Notes Diagnostics Results Neurologic Flowsheet 1000 Client is an on-campus student at a local university who had a sinus infection treated with antibiotics (client is unsure which antibiotic) at the health center on campus. Came to the emergency department (ED) now with fever, severe headache, vomiting, and photophobia. Client is oriented to time, place, and person. Client is restless, continually moving in bed. Vital signs: temperature, 100.2°F (37.9°C) rectally; heart rate, 88 beats/min; respiratory rate, 18 breaths/min; blood pressure, 134/84 mm Hg; oxygen saturation on room air, 97%. Lungs are clear. Peripheral pulses are strong, with no bilateral lower extremity edema noted. Bowel sounds are present in all four quadrants. Blood was sent to the laboratory for complete blood count, metabolic panel, and cultures. Intravenous (IV) line inserted in the right forearm. Client has no significant medical history and takes no medications. Client is not sure whether immunizations are up to date. See the Neurologic Flowsheet. 1045 Client is lethargic and confused. Client is not answering questions, and is making incomprehensible sounds. Health care provider was notified. Computed tomography (CT) scan followed by a lumbar puncture was prescribed by the health care provider. See the Neurological Flowsheet.