Progress notes vital signs emergency department

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Reference no: EM133806189

Question

The nurse is caring for a 75-year-old client. Progress Notes Vital Signs Emergency Department 1030: The client arrives from an assisted living facility for treatment of sepsis. Blood cultures are collected, and IV antibiotics and fluids are initiated. Intensive Care Unit 1100: The client suddenly develops bleeding from the gums and intravenous catheter sites. Hematuria is noted in the urinary catheter. The client has no hives, but a petechial rash is noted. The client reports no itching.s Vital Signs 1030 1100 T 102.6 F (39.2 C) 102 F (38.9 C) P 118 120 RR 22 24 BP 87/50 80/44 SpO 98% via 2 L nasal cannula 96% via 4 L nasal cannula Which of the following interventions should the nurse anticipate?

1. Discontinue antibiotics

2. Initiate a norepinephrine infusion

3. Monitor coagulation studies

4. Transfuse fresh frozen plasma

5. Transfuse platelets

Reference no: EM133806189

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