Two hours later, the nurse enters the client’s room. The client is still lethargic but awakes spontaneously or to verbal stimuli. The client states that their pain is at a 3 on a 0 to 10 scale and denies needing intervention for pain. The client does report they are having nausea and feels dizzy. The client has a sodium chloride IV drip running at through the peripheral IV. Lungs sounds are diminished bilaterally in the bases, heart sounds are clear. The client reports being thirsty and is asking for water. Bowel sounds in all four quadrants are absent. Bilateral radial pulses are 1+, and bilateral dorsalis pedis pulses . Urine output via foley catheter is 60 cc in the last hour. Vital signs are temp , pulse , respiratory rate , blood pressure , and oxygen saturation on 6 L NC . The skin is clammy and cool to the touch. The nurse calls the provider with an update on the client. Which of the following prescriptions does the nurse anticipate? (Select all that apply.) Push furosemide 40 mg IV one time. Obtain a CBC stat. Perform 500cc 0.9% sodium chloride IV bolus one time. Obtain blood cultures.
[Answered]: Two hours later, the nurse enters the client’s room
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