[Answered]: The nurse reviews the nurses’ notes for an older…

The nurse reviews the nurses’ notes for an older adult admitted to theED an hour ago. Highlight the client findings in the nurses’ notes that would be of immediate concern to the nurse.* 1 pointHealth HistoryNurses’ NotesPhysician’s Orders1420: 87-year-old client admitted to the ED from independent living apartment with new report of episodic acute confusion, urinary frequency and incontinence, and severe fatigue Child states that client is independent in ADLs and has no history of dementia. Client was admitted last month to the hospital for 3 days after a mild stroke, but had no residual symptoms. Has had type 2 diabetes mellitus for about 15 years. Admission vital signs: T 100.8deg F (38.2deg C), HR 96 BPM, RR 20 bpm, BP 98/46, SpOz 90% on RA. Alert and oriented x 1 (person). Lungs clear; S1 and Sz present with no murmurs or gallops.Extremities cool with capillary refill greater than 5 seconds. Both legs slightly mottled with 1 edema1450: Urinalysis shows numerous WBCs, casts, and few CBCs. Cath urine specimen for culture and sensitivity sent to laboratory. Peripheral IV of 5%D/NS started in left forearm.