[Answered]: A nurse is caring for a client who has been…

A nurse is caring for a client who has been admitted with confusion. Exhibit 1 Exhibit 2 Exhibit 3 Assessment 0430: 66-year-old client admitted with confusion. 0830: Client reports having some difficulty breathing and feeling lightheaded. Lungs clear to auscultation in all fields. Client denies having pain at this time, but exhibits mild agitation by pulling on their gown and attempting to remove their hospital identification bands. Oriented to self only. The muscles in the client’s arms twitch. The client has decreased skin turgor and dry mucous membranes on assessment. Assistive personnel has lowered the head of the client’s bed and remains with client. For each assessment finding, click to specify if the finding is consistent with hypernatremia, fluid volume excess, or fluid volume deficit. Each finding may support more than alteration. table[[Assessment Findings,Hypernatremia,Fluid Volume Excess,Fluid Volume Deficit],[Lightheadedness,,,],[Dyspnea,,,],[Hypertension,,,],[Agitation,,,],[Dry mucous membranes,,,],[Decreased skin turgor,,,],[Muscle twitching,,,]]