NURSING ASSESSMENT & NOTES 8/8 0900 Neuro/Cognitive: Lethargic. Responds to verbal stimuli and then becomes drowsy again. Oriented x 2 (person and place). Cardiovascular: S1 and S2 sounds present. +bradycardia rate of 40. No edema noted. Respiratory: Breathing regular but slowed. Lung sounds diminished. No cough. Gastrointestinal: BS hypoactive. Abdomen soft, nondistended, nontender. Last BM yesterday. Last oral intake x 6 days ago, drinking small amounts of oral fluids. Genitourinary: Incontinent of urine. Integumentary: cyanosis-like discoloration with blotching noted to feet. Mucous membranes dry and cracked. +non-blanching redness to sacrum. Lines/Drains: 22 G in L hand. Patent and intact. Dressing clean, dry, intact. Question 1 Not complete Marked out of 33.34 Question text Before answering this question, review the client’s health information in the EHR. Determine which assessment findings are relevant to impending death. Select one option in each row. Relevant Irrelevant Heart rate Mucous membranes Urine output Mottling Level of consciousness Pressure ulcer
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[Solved]: NURSING ASSESSMENT & NOTES 8/8 0900 Neuro/Cognitive:…