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    RN HESI OBPediatrics Proctored Exam
    Select All That Apply

    A 74-year-old female older adult was admitted to the ER with Shortness of breath, lethargy, and dry oral mucosa. The patient reports being thirsty, and no complaints of pain are noted. BP is 90/50, HR 122, temperature 100, and pulse ox is 94%. The patient is started on IV therapy and has been diagnosed with Dehydration. Her height is 5 Feet, 3 inches and her current weight is 98 pounds. Dark scanty urine present, NKDA or NKFA and has a history of gout, falls, and loss of appetite. After reviewing the patient's information, identify all pertinent assessment data that is important and of immediate concern. Select all that apply.

    Explanation & Rationale

    ● Weight 98 lbs: This information helps determine the patient's baseline weight and assess for potential weight loss associated with dehydration. ● Dehydrated: The diagnosis of dehydration indicates a critical condition that requires immediate attention and intervention. ● Lethargy: Lethargy suggests a decreased level of consciousness and could indicate a severe state of dehydration or other underlying issues that need to be addressed promptly. ● HR 122: A heart rate of 122 beats per minute is elevated and may indicate compensatory mechanisms in response to dehydration or other underlying conditions. It requires further evaluation and intervention. ● Shortness of Breath: This symptom suggests respiratory distress and may be related to the patient's dehydration or underlying conditions. It requires immediate assessment and intervention. ● Temperature 100: An elevated temperature may indicate an underlying infection or inflammatory response. It requires further evaluation to determine the cause and guide appropriate treatment. ● Thirsty: The patient's report of feeling thirsty is an important symptom indicating dehydration and the need for fluid replacement. ● BP 90/50: A blood pressure of 90/50 is low and may be indicative of hypotension, which can occur in dehydration. It requires close monitoring and intervention to stabilize the patient's blood pressure. The following items are not immediate concerns based on the given information: ● Admitted to the ER: While it is important information, it is not a current concern as the patient is already in the ER. ● Female: The patient's gender is not an immediate concern for the assessment and management of dehydration.

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