The 79-year-old patient with bacterial pneumonia becomes increasingly restless and confused. Temperature is 100° F and pulse, blood pressure, and respirations are elevated since the last as-sessment 6 hours ago
The initial intervention by the nurse should be to: a. take the patient off oral fluids.
b. assess oxygen saturation.
c. give the ordered mild sedative.
d. administer an NSAID for discomfort.
B
Assessing the oxygen saturation will reveal the level of oxygenation. These are early signs of hypoxia in the older adult. Medications for sedation or discomfort do not address the patient's current condition. There is no indication for stopping oral fluids.
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