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Sarah Getts
Diagnosis: chronic kidney disease
DOB: 2/6/1966
MRN: 73918250
Room: 102
0645
Sarah Getts, age 58, was just admitted from the emergency department. The client came
into the ED reporting a 48 hr history of shortness of breath, headache, and nausea. The
report not being able to eat due to nausea and have been attempting to drink soda to keep
from dehydrating.
The client is oriented X 4, has sinus tachycardia on the ECG monitor, and has breath
sounds with crackles bilaterally. The client states they are voiding cloudy urine.
History includes type I diabetes mellitus since age 8, insulin dependent; hypertension; and
kidney disease for the past 10 years.
Admission vital signs are: temperature 38.3° C (99° F), heart rate 116/min, respiratory rate
28/min, blood pressure 176/94 mmHg, and SpO2 95% on room air.
Labs were drawn in the ED but have not been received yet. The client is admitted to
nephrology, Dr. - - Maslow's Hierarchy of Needs: High Priority
Airway, Breathing, Circulation: Low Priority
Safety and Risk Reduction: High Priority
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, Swift River 2.0: Sarah Getts Exam Test Questions With
100% Verified Answers Graded A+
Urgent vs Nonurgent: High Priority
Chronic vs Acute/Stable vs Unstable: High Priority
Initial Nursing Assessment
0745: The nurse reviews the information received in report.
Which of the following concerns should the nurse address while providing client care?
(Select all that apply.) - - Physiological: Comfort
Physiological: Nutrition
Physiological: Metabolism
Physiological: Gas Exchange
Physiological: Elimination
Physiological: Acid Base
0800: The nurse enters the client's room, obtains vital signs, and performs an assessment.
Current vital signs are:
Temperature 38.3° C (99° F)
Heart rate 118/min
Respiratory rate 28/min
Blood pressure 175/95 mmHg
SpO2 95% on room air
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