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Question: Ms. B is an 87-year old adult who is being transferred to the Emergency Department (ED) for assessment. She currently lives in a retirement centre with her spouse. She has experienced nausea and vomiting x 24 hours with associated decreased oral intake. Ms. B is increasingly lethargic today and her spouse states she has been slightly confused for the past 12 hours.
Her past medical history includes Type 2 diabetes, heart failure, hypertension, GERD, and osteoarthritis.
Vital signs: HR 122, PB 98/60 (automatic cuff), RR 26, SpO2 95% on room air, T 37.7 PO, BS 7.6 mmol/L
1. What documents to report
2. What are the health assessment findings to document
3. What are the nursing interventions that nurses need to perform.
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