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*HURST REVIEW Qbank/Customize Quiz - Management of care (100% Guaranteed Pass)
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A 68-year-old client with a history of angina presents to the emergency department (ED) reporting flu like symptoms progressively worsening over the past 24 hours. What action is most important for the nurse to initiate? Exhibit: Client's Chief Complaint: "I have the flu. I have been vomiting every couple of hours, running a fever and my chest hurts." Vitals Signs: Pulse-132 beats/minute Respirations-26 breaths/minute Blood pressure-94/60 mmHg Temperature-101.3° F (38.5°C) orally Capillary refill - 4 seconds Primary Healthcare Provider Prescription: Rapid Influenza Diagnostic Test Normal Saline 1 liter at 250 mL/hour, then Normal Saline at 100 mL/hour. Chest X-ray Acetaminophen 500 mg po now.
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