An Elderly Client Was Admitted Yesterday for Dehydration

An elderly client was admitted yesterday for dehydration. The client has an IV infusion and a Foley catheter. Today the client appears restless and will not eat. The client's vital signs are T 99.2° F, P 88 beats/min, R 20 breaths/min, BP (142/82) mm Hg. The nurse should first assess the client further for

A) an infection.
B) medication usage.
C) orientation status.
D) stroke/TIA.

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