During the morning assessment of the home health care client, the nursing assistant has collected the following data. Which data, collected by the nursing assistant, should be reported to the case manager immediately? Select all that apply.

Question

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The nursing assistant should make sure to report any of the following observations to the case manager immediately: one or more of the client's vital signs is above or below the standards set by the agency; the client has a fever or other signs of infection; there is a change in the client's mental alertness or orientation. A urine output of 400 mL for the nighttime is a normal amount. When clients refuse care like a bath that could sometimes be a normal occurrence and does not need to be reported immediately. Requesting ice cream for breakfast is not an item that needs reported to the case manager. The priority assessments are the change in vital signs and change in level of conscious.

During the Morning Assessment of the Home Health Care Client