A facility approved interpreter was introduced to the nephew and client. The nurse collaborated with the interpreter, client, and client's nephew to gather subjective data and history. The nurse's admission assessment reveals the following findings. Client reports with the assistance of the interpreter, nausea, and a burning pain of 6 10 on a 0 to 10 numeric pain scale in the epigastric region. Abdomen is flat and soft with some guarding in the upper quadrants upon palpation. Bowels sounds are active in all 4 quadrants. Skin turgor is poor and shows tenting. Skin color is consistent with client's genetic background. Mucus membranes are pale pink and dry. Capillary refill is 2 seconds. Peripheral pulses are strong and regular. Breath sounds are clear and equal bilaterally. Chanthavy is not currently taking any prescribed medications. However, she reports taking several brands of over - the - counter calcium carbonate chewable medications up to 15 chewable/day to decrease the stomach pain and nausea, but they have not helped. Over the past week, she has been taking St John's wort because she is feeling depressed that she has not felt well for a month.Which of the following concerns should the nurse address while providing client care?
a. Physiological: Pain
b. Physiological: Fluid and Electrolyte
c. Physiological: Nutrition
d. Safety: Injury prevention
e. Physiological: Gas Exchange
f. Physiological: Immunity
g. Physiological: Intracrapial regulation
h. Physiological: Sensory
i. Psychosocial: Mood and Affect



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