Which four patient assessment findings require follow-up by the nurse? Select all four that apply.

Choice A reason: Reassessing vital signs in 1 hour is not an immediate action and does not address the patient’s current symptoms of dizziness and unsteady gait, which indicate a potential problem that requires immediate attention. Waiting an hour to reassess may delay necessary interventions that could prevent harm.
Choice B reason: Assisting the patient into a sitting position and notifying the healthcare provider is the most appropriate action. The symptoms of dizziness and unsteady gait, along with a BP of 98/60 mmHg, suggest that the patient may be experiencing orthostatic hypotension or a side effect of Carbidopa-Levodopa. Elevating the patient's position can help prevent falls, and notifying the healthcare provider ensures that the situation is assessed and managed promptly. This action addresses the immediate safety of the patient and facilitates appropriate medical intervention.
Choice C reason: Administering the next dose of Carbidopa-Levodopa early is not recommended without specific orders from the healthcare provider. It could potentially lead to overmedication and worsen the patient’s symptoms or cause adverse effects. Medication administration should always follow the prescribed schedule unless otherwise directed by the healthcare provider.
Choice D reason: Educating the patient about increasing his exercise is important for overall health and mobility but is not an immediate intervention for the acute symptoms of dizziness and unsteady gait. The patient’s current condition requires prompt assessment and intervention rather than education on exercise, which can be addressed later once the immediate issue is managed.

Choice A reason: Monitoring for signs of dehydration is crucial because Mr. Carter's symptoms of nausea and vomiting can lead to fluid loss. Ensuring adequate hydration is essential for maintaining overall health and supporting liver function.
Choice B reason: Providing education about proper hand hygiene is important to prevent the transmission of hepatitis A, especially since Mr. Carter recently traveled to an area where he may have been exposed to the virus. Proper hand hygiene can help reduce the risk of spreading the infection to others.
Choice C reason: Encouraging a high-protein dietary intake is not appropriate in this case. While protein is important for liver repair, Mr. Carter's liver function is compromised, and a high-protein diet may increase the liver's workload. Instead, a balanced diet with adequate calories and nutrients is recommended.
Choice D reason: Administering intravenous antibiotics is not indicated for hepatitis A, as it is a viral infection and not bacterial. Antibiotics would not be effective in treating this condition.
Choice E reason: Advising rest and limiting physical activity is important to support recovery. Mr. Carter's symptoms of fatigue and jaundice indicate that his body needs time to heal. Resting helps conserve energy and allows the liver to recover.
Choice F reason: Educating the patient about the need for lifelong hepatitis A vaccination is crucial. Although hepatitis A does not typically cause chronic infection, vaccination can prevent future infections and protect against the virus.