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Question
A nurse is assisting with the care of a client on a medical-surgical unit. Medical History Day 1: Parkinson's disease Heart failure Medication Administration Record Day 1: Furosemide 40 mg PO twice a day Carbidopa/levodopa 25 mg/100 mg po three times a day Vital Signs Day 1: Temperature 37.2° C (99° F) BP 128/56 mm Hg sitting, 92/40 mm Hg standing Heart rate 66/min Respiratory rate 18/min Pulse oximetry 96% on room air (95% to 100%) Diagnostic Results Day 1: Hct 38% (37% to 47%) Hgb 13 g/dL (12 to 16 g/dL) WBC count 6,500/mm3 (5000 to 10,000/mm3) WBC count 6,500/mm3 (5000 to 10,000/mm3) Day 2: Hct 39% (37% to 47%) Hgb 14 g/dL (12 to 16 g/dL) WBC count 7,000/mm3 (5000 to 10,000/mm3) Potassium 3.0 mEq/L (3.5 to 5 mEq/L) A nurse is collecting data about a client's fall risk . Which of the following findings places the client at risk for a fall? (Select all that apply.) Furosemide Potassium level on day 2 WBC count on day 2 Temperature Orthostatic blood pressure Parkinson's disease.
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