Physical Assessment The client is alert and oriented to time and place. He is a pale, thin male, with shallow respirations. He exhibits some nasal flaring, mild intercostal retractions, and a productive cough. He leans forward as he sits in a tripod position. Upon auscultation, the nurse notices wheezing to the right side and diminished breath sounds to the left side, and his heart rate is slightly elevated. Visual inspection of the client reveals a barrel chest, mild clubbing of the fingers, and cyanosis to the nail beds. His skin is very warm and dry to the touch, and an examination reveals decreased skin turgor, and a stage II decubitus ulcer in the sacral area that scored a 14 on the Braden scale. The client has mild swelling of the feet and he reports limited mobility related to feeling weak. He denies allergies to medication or food and denies any pain. He does not have advance directives. VITAL SIGNS T 101.5° F (38.6° C), HR 110 beats/min, R 20 breaths/min, BP 150/90 mmHg, blood glucose 200, O2 saturation 88% on room air MEDICATIONS albuterol and ipratropium bromide, meter dose inhalers diltiazem furosemide aspirin 81 mg metformin regular insulin (sliding scale) enoxaparin sodium PRESCRIPTIONS The nurse follows the healthcare provider’s (HCP) prescriptions for treatment of exacerbation of chronic obstructive pulmonary disease (COPD) Obtain ABG, CBC with diff, chemistry 7, blood cultures (BC), urinanalysis (UA) PA and lateral chest x-ray Consult PT/OT for wound care Start sequential compression device (SCD) Establish intravenous access (saline lock) Question 3 of 28 The HCP prescribes 1000 mL dextrose 5% with normal saline 0.9% and 20 mEq/L potassium chloride (KCl) to infuse at 100 mL/hr. The nurse is correct to question which additive to this infusion prescription? Normal saline (NS) and Potassium chloride (KCl). Normal saline (NS). Dextrose (D5). Potassium chloride (KCl). Submit
[Verified Answer]: Physical Assessment The client is alert…
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