Client was brought to the emergency department by her husband due to reports of severe fatigue. The husband reports that the client has been sleeping all the time for the past few weeks and has been difficult to arouse at times. The client has a history of stage 4 breast cancer. The client has a central venous access device (CVAD) that she has been receiving chemotherapy treatments through for the past few months. The client states she does have a poor appetite with decreased fluid intake and denies nausea and vomiting. The client is alert and oriented but appears extremely drowsy. Client states dizziness upon standing and walking.
Vital signs
Temperature: 98.6°F (37°C)
Heart rate: 108 beats/min
Respiratory rate: 18 breaths/min
Blood pressure: 90/60 mm Hg
Pulse oximetry reading: 96%