A nurse is caring for a client on a medical-surgical unit. Exhibits Nurses Notes 0800: Client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools/day. Client was taking PO amoxicillin/clavulanate for a respiratory tract infection, 500 mg q12h for 10 days. Antibiotics completed 7 days ago. Bilateral breath sounds clear and present throughout. Abdomen soft, nondistended with hyperactive bowel sounds audible in 4 quadrants Stool contains mucous and is foul-smelling. Stool sent for culture. Click to highlight the documentation in the client's medical record that requires further action by the nurse. Temperature 38.9° C (102°F) Blood pressure 118/56 mm Hg Heart rate 102/min Respirations 20/min Oxygen saturation 95% on room air Hermatocrit 47% (37% to 47%) Hemoglobin 16 g/dL (12 g/dL to 16 g/dL) Potassium 3.3 mEq/L (3.5 to 5.0 mEq/L) Stool culture positive for Clostridium difficile (negative)