Multiple Choice
The nurse is performing beginning of shift assessments on 4 clients. Which client's assessment findings should the nurse immediately report to the health care provider?
A) 36-year-old client with alcohol withdrawal who is receiving IV lorazepam every 3 hours for agitation and has a blood pressure of 190/98 mm Hg
B) 56-year-old client with stable angina who has chest and jaw pain relieved with nitroglycerin, blood pressure of 98/70 mm Hg, and dizziness when getting up
C) 60-year-old client with chronic kidney disease who has a blood pressure of 168/88 mm Hg, serum creatinine level of 5.0 mg/dL (442 µmol/L) , and reports nausea and itching
D) 82-year-old client with a pressure injury who has a change in mental status, temperature of 96.4 F (35.8 C) , pulse of 110/min, and blood pressure of 96/72 mm Hg
Correct Answer:
Verified
Correct Answer:
Verified
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