Day 1 0900 Alert and oriented x3. Reports shortness of breath. Crackles auscultated bilaterally. Deep tendon reflexes present. Peripheral edema noted. Complaints of epigastric pain radiating to the right arm. Abdominal exam reveals hypoactive bowel sounds and a tender abdomen. Reports nausea and vomiting over the last several days. Client states, “I was recently diagnosed with cancer and started chemotherapy yesterday.” Dark reddish brown urine noted. The tongue is painful and swollen. Identify the findings that require follow-up. Select all that apply.
[Verified Answer]: Day 1 0900 Alert and oriented x3
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