A nurse on a medical surgical unit is admitting a client from a provider's office. Exhibits Click to highlight the information in the Nurse's Notes and Vital Signs that should be reported to the provider. 1500: Temperature: 39 degrees Celcius (102.2 F) Heart rate: 122/min Respiratory rate: 24/min BP: 106/54 mmHg Oxygen saturation: 95% on room air 1530: Client lethargic, reporting abdominal cramping, experiencing projectile vomiting. Voiding dark, concentrated urine. Client requesting water

Vital Signs Temperature: 39°C (102.2°F) → fever worsened since admission (sign of possible infection). Heart rate: 122/min → tachycardia, worsened compared to earlier. Blood pressure: 106/54 mmHg → trending downward, may indicate fluid deficit/hypotension risk. Nurse’s Notes Client lethargic → worsening mental status. Projectile vomiting → new onset, risk of dehydration and electrolyte imbalance. Abdominal cramping → possible gastrointestinal complication. Voiding dark, concentrated urine → sign of dehydration. Client requesting water → excessive thirst consistent with hyperglycemia/possible hyperosmolar state.