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The nurse is cаring fоr а 52-yeаr-оld client whо has COVID-19 and was admitted with respiratory distress. Vital Signs Nurses’ Notes Orders Laboratory Results 2130: Client brought in via EMS for pallor, mental status changes, tachypnea, and hypoxia responsive to oxygen therapy—Venturi mask @ 40% FiO2. Client was diagnosed with COVID-19 4 days ago. EMS found the following vital signs: HR 104 beats/min; BP 165/88 mm Hg; RR 35 breaths/min; SpO2 70% on RA; and T 98.2°F (38.8°C). On admission to the ED, VS are HR 107 beats/min; BP 162/86 mm Hg; RR 33 breaths/min; T 98.2°F (36.8°C); and SpO2 92% on 55% FiO2 via Venturi mask. Client is alert and oriented × 4 but appears anxious (wringing hands, restless, glancing quickly around the room). PERRLA. Swollen red oropharynx. Lung sounds are diminished bilaterally. Client has a cough. S1 and S2 heart tones present. Mild sternal tenting. Capillary refill >3 sec and skin is pale. Weak and equal strength in hands and feet. Bowel sounds hypoactive. Client reports no problems with urination and cannot recall the last voiding time. 2145: Applied continuous telemetry and pulse oximetry. SpO2 95% with FiO2 @ 50%. 2200: Gave 1 L IV bolus of normal saline. Blood and urine samples sent to the lab for analysis. Titrating oxygen to keep SpO2 >94%; current FiO2 @ 50%. 2330: Transfer to general medical COVID-19 floor. 0000: HR 108 beats/min; BP 172/90 mm Hg; RR 35 breaths/min; T 98.2°F (36.8°C;) and SpO2 95% on 55% FiO2 via high-flow nasal cannula. Client is alert and oriented × 4 but appears anxious (wringing hands, restless, glancing quickly around the room). PERRLA. Swollen red oropharynx. Lung sounds are diminished bilaterally. Client has a cough. S1 and S2 heart tones present. Capillary refill