[Expert Solution]: Name: Sally Edwards Age: 89 years Provider: B

Name: Sally Edwards Age: 89 years Provider: B. Lemons MD Allergies: NKA Code Status: DNR Admit Wt: 100 lbs (45.5 kg) BMI: 18.9 Nursing Flowsheets MAR Other MEDICATION ADMINISTRATION RECORDMedication2/22 1230Medication: Acetaminophen Dosage: 650 mg Route: By mouth Frequency: q6h Parameters: PRN for painLKMMedication: Multiple Vitamin with Iron Dosage: One Tablet Route: By mouth Frequency: Daily Parameters: N/ALKMMedication: Loratadine Dosage: 10 mg Route: By mouth Frequency: Daily Parameters: N/ALKM Question 1 Not complete Points out of 33.34 Question text Before answering this question, review the client’s health information in the EHR. Identify the cues that indicate a safety concern for the client. Select to highlight the correct answer(s). Nursing Assessment: Neuro/Cognitive: Alert, oriented to name only. Does not follow commands and easily distracted. Speech clear. Tongue midline. No facial droop noted. Agitated and attempting to hit staff. Cardiovascular: S1 and S2 sounds present. HR regular and even. No edema Respiratory: Breathing regular, even. Lung fields diminished in bases, otherwise clear. Gastrointestinal: BS present x 4 quadrants. Abdomen soft, nondistended, nontender. 50% of lunch eaten. Incontinent of stool. Last BM yesterday – soft, formed, brown stool. Genitourinary:Incontinent of urine. Brief wet with foul-smelling urine. Musculoskeletal: Moves all extremities. 2-assist for pivot. Wheelchair bound x 4 years.