Which concerns nurse address while providing client care

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Reference no: EM133853567

Problem

The nurse enters the room, introduces themselves and performs hand hygiene. Paul is lying in the bed, color is pale. Respirations appear easy and unlabored. Periorbital and generalized edema of the face is observed. Abdomen appears distended. Paul becomes irritable when disturbed, telling the nurse to "go away." Parent is comforting Paul. Vital signs are temperature 380 C (100.40 F), heart rate 100/min, respirations 24/min, blood pressure 96/46, pulse oximeter 97% on room air. Lungs are clear to auscultation. Abdomen is distended with active bowel sounds. Groin and lower extremities noted to have 3+ pitting edema. Paul has refused breakfast, stating that he is not hungry. His parent reports a diarrhea stool. The parent states "l don't understand how this happened. Paul has always been so active and never been sick like this before." Get the instant assignment help. Which concerns should the nurse address while providing client care?

Reference no: EM133853567

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