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An 89-year-old LTC resident who had a stomach virus last week now has new confusion, dry mucous membranes and a 2 kg weight loss. She is still getting her daily furosemide. Labs show sodium 152 mEq/L, BUN 48 mg/dL, and creatinine 1.4 mg/dL (baseline 0.9). Which action should the nurse take first?
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