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Naomi Bell Naomi Bell, age 90, was admitted to the hospital yesterday after experiencing chest pain. She wears a hearing aid in her left ear. In the report you were told that she is “confused” and “doesn’t answer questions appropriately.” Her night vital signs were as follows: temperature, 98.0°F; pulse, 62 beats/minute; respirations, 18/minute; blood pressure, 132/86 mm Hg. She is due for her am medications. As you give Mrs. Bell her medications and state their purpose, she points to the digoxin and says, “Honey, I don’t take that pill” Medical Orders: Digoxin 0.125 mg PO every morning Enteric-coated aspirin 81 mg PO every day Furosemide 20 mg PO every morning Developing Clinical Reasoning. . How would you respond to Mrs. Bell’s statement, “Honey, I don’t take that pill”? • Suggest ways in which you can confirm you are giving Mrs. Bell the correct medications. • Describe factors that can contribute to inappropriate answers, and identify nursing actions to diminish these factors. • How would you determine Mrs. Bell’s level of confusion? 05) Text Predictions on
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