Cаse Study At 0800, the nurse аdmits the client tо the surgicаl unit frоm the ED and оbtains the data illustrated. Use the information to answer the following questions in this section. Question: What are the priority assessment concerns for the nurse on the surgical unit? Select all that apply. Client 16-year old female Allergies Penicillin Admitting Diagnosis Abdominal Pain; Type 1 Diabetes Medical History Anorexia; depression; previous admission in adolescent mental health unit for suicidal ideation without a plan 0745 Laboratory Test Results Complete Blood Count: Hemoglobin 8.9m/dL Platelets 450,000/mm WBC 14.1 Serum Chemistry: Potassium 3.8 mEq/L Creatinine 1.2 mg/dL BUN 40 mg/dL Glucose 140 mg/dL Coagulation: PT 12 seconds Scheduled Procedures Surgical Consult Pending Vital Signs 0730: BP 92/58, Pulse 90, Respiratory Rate 22, Oral Temp 100.8 F, Weight 40 kg 0800: BP 78/41, Pulse 128, Respiratory Rate 32, Oral Temperature 102.8 F Significant Assessment Data 0800: Neurologic: Eyes glassy-appearance, reluctant to answer questions, lethargic Pain: Rates 7/10 on pain scale, rebound tenderness RLQ, Supine, hips flexed, and knees bent up Skin: Warm to touch; poor skin turgor at Rt clavicle Affect: Does not smile, avoids eye contact, and cries easily Lines/Drains: Rt forearm, peripheral IV 20g benign and capped Medications on the MAR Acetaminophen 325 mg orally q4 h; has not been given Cefoxitin 1.5 gm I.V. due; not yet delivered from pharmacy Morphine Sulfate 2 mg IV q4 h; last given at 0600 0.9% NaCL 500mL fluid bolus IV for systolic BP< 90 Diet NPO