Problem:
A nurse in an emergency department (ED) is assisting in the care of a client. Exhibit 1 Exhibit 2 Exhibit 3 Vital Signs 1100: Temperature 39.2° C (102.5° F) Pulse rate 118/min Respiratory rate 18/min Blood pressure 92/68 mm Hg Oxygen saturation 95% on room air Weight 44.9 kg (99 lb) BMI 17 Click to highlight the findings that indicate the client might be malnourished. To deselect a finding, click on the finding again. Client is cachectic with flaccid muscle tone. Skin is dry and scaly with bruises on extremities. Oriented to person, place, and time. Client is able to move all extremities. Pulse rate 118/min Respiratory rate 18/min Abdomen is distended Temperature 39.2° C (102.5° F) BMI 17