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[Verified Answer]: A 72-year-old female client is admitted…

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A 72-year-old female client is admitted from a long-term care facility with a pressure injury and fever for intravenous (IV) antibiotic treatment. Client is alert and oriented to person, place, situation, but not time. Skin is warm and dry. Coccyx area has 4 × 3 full-thickness wound with no tunneling or exposure of muscle or bone. Thick, yellow drainage from wound noted. Right heel has reddened area that does not blanch. Heart tones are regular. Lung sounds clear bilaterally. Abdomen soft with hypoactive bowel sounds. Pedal pulse is palpable and regular. Capillary refill is less than 2 seconds in all extremities. Client is passing gas but has not had a bowel movement today. Client has no known food allergies but is allergic to ampicillin. New prescriptions received. What are the top 3 priorities for nurse to follow up on ?

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