Question: Question 1 33 pts The nurse Is caring for a 31-year-old client. Nurses' Notes Emergency Department 0800: The client was brought to the emergency department

Question 1 33 pts The nurse Is caring for a 31-year-old client. Nurses' Notes Emergency Department 0800: The client was brought to the emergency department by the parents after taking an unknown number of tablets 3 hours ago. The client was found with empty prescription bottles found on the floor nearby. The client is lethargic, mumbling incoherently, arouses with repeated physical stimulation, and is oriented to person only Face is flushed, and skin is hot and dry. Pupils equal at 5 mm and react sluggishly to light. Breath sounds clear bilaterally S1 and S2 are heard. Peripheral pulses 2+. Abdomen is soft with hypoactive bowel sounds in all 4 quadrants. Suprapubic fullness palpated pia | 0815: Home medications include amitriptyline 50 mg PO once daily; docusate sodium 100 mg PO g6h PRN for constipation; hydrocodone 10 mg extended-release PO q12h PRN for pain. Question 1: Which 4 client findings require immediate follow-up by the nurse? Select all that apply

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