Client Year Woman Explained for Students (Easy Guide)

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Original Question

1600: Client is a 22-year-old woman brought into the emergency department (ED) by a friend. Client reports of facial swelling and pain especially in the mouth area, making it difficult to talk and swallow. Her eyes, lips, and tongue appear extremely edematous with erythema. Client is also experiencing pruritis on trunk area and bilateral lower extremities. Hives noted on abdomen and bilateral lower legs. Client states she went to her primary doctor a couple of days ago for signs of a urinary tract infection. She was prescribed an antibiotic and has taken two doses so far. She does not remember the name of the medication. Client has a history of hypothyroidism and takes levothyroxine 100 mcg per day. Client is alert and oriented with cranial nerves I to XIII intact. Assessment findings: Cardiovascular: Sinus tachycardia. No murmur noted Respiratory: Tachypnea, auscultated wheezing throughout bilateral lung fields Gastrointestinal: Positive bowel sounds Genitourinary: Dark orange color urine, experiencing urinary frequency and nocturia, slight burning and pain when urinating Peripheral: Widespread hives on bilateral lower extremities. No edema noted Vital signs: Temperature: 98.6°F (37°C) Heart rate: 110 beats/min Respiratory rate: 22 breaths/min Blood pressure: 130/86 mmHg Pulse oximetry reading of 93% Orders 1600: oxygen using a nonrebreather mask at 94% intravenous (IV) infusion of 0.9% sodium chloride (NaCl) at 200 mL/h epinephrine 0.01 mg/kg intramuscular (IM) topical diphenhydramine to hives levothyroxine 100 mcg orally (PO) daily bedrest nothing by mouth chest x-ray laboratory test: complete blood count (CBC), basal metabolic panel (BMP), urinalysis, and arterial blood gas (ABG) An assessment was performed on the client and prescription was written. Drag one condition and one client finding to complete the sentence. The client appears to have ______ based on the client finding of_____________ . Condition fluid overload dysrhythmias anaphylaxis asthma gastroesophageal reflux disease (GERD Client Finding gastrointestinal assessment angioedema pain upon urination cranial nerve assessment blood pressure

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