[Verified Answer]: 3/5 1000 Nursing Note: Presents to the…

3/5 1000 Nursing Note: Presents to the Emergency Department after 3 days increase in thoracic area back pain. Rates 3/10 pain. Denies falls and has a history of osteoporosis, spinal fractures, and asthma. 3/5 1030 Neuro/Cognitive: Wearing glasses. Unable to identify number of fingers held up. Pupils 4 mm PERRLA. Alert and oriented x 4. Denies numbness or tingling. Cardiovascular: S1 S2, sinus rhythm per cardiac monitor. Respiratory: Slightly moist tight cough noted. Non-productive cough per client. Scattered wheezes and decreased breath sounds in the bases. Gastrointestinal: BS x 4 quadrants, normoactive. Abdomen soft, non distended, non-tender. Last bowel movement yesterday, diminished appetite. No nausea. Genitourinary: Voiding amber urine without difficulty or incontinence. Musculoskeletal: Client reports being weaker than normal, using a walker for ambulation, and must stop to rest due to dyspnea. Onset of symptoms x 1 week. Denies falls in the past 12 months. Integumentary: Skin dry, intact. Unable to perform ADLs due to dyspnea. 3/5 1030 Nursing Note: Denies any current medication use. Last visit to provider was last year. Had inhaler he utilized until about 6 months ago when he felt it stopped working to help him breathe. Client doesn’t know name of medication. Pharmacy and provider name obtained. Asked client to describe how he utilized the inhaler. The client said he would shake the medicine, place the mouthpiece in his mouth, depress the canister 2 times then inhale the medicine. Question 2 Not complete Marked out of 33.34 Question text Before answering this question, review the client’s health information in the EHR. Indicate the prescriptions that should be questioned. Select two (2) that apply. 2 view chest x-ray. CBC, BMP, and BNP. Surgical consult. Salbutamol nebulizer 50 mcg via nebulizer x 1 dose. Thoracic spine x-ray. Ipratropium bromide 2.5 mL/50 mcg via nebulizer x 1 dose. Insert peripheral IV. Oxygen via NC to keep pulse oximetry greater than 91%.