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Problem
A 75 year old client presents to the emergency room with report of increased confusion that started 16 hours prior to arrival. History: Dementia, Diabetes mellitus type 2, hypertension, hyperlipidemia Surgical history: appendectomy 50 years ago, Social history: denies tobacco, alcohol, illicit drugs use Vital signs: 126/82, P118, T 99.2 F (rectal), RR 22, SPO2= 95% on room air. Question at position 5 5 2 points Question at position 5 The client continues on 0.45% Normal Saline at 150 ml/hr intravenously. Which reports by the unlicensed assistive personnel (UAP) would cause the nurse to intervene immediately? The client continues on 0.45% Normal Saline at 150 ml/hr intravenously. Which reports by the unlicensed assistive personnel (UAP) would cause the nurse to intervene immediately?
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