A client who suffered a spinal cord injury at level T5 sever…
A client who suffered a spinal cord injury at level T5 several months ago develops a flushed face and blurred vision. On taking vital signs, the nurse notes the blood pressure to be 184/95 mmHg. What is the nurse’s first action?
Read DetailsA 78-year-old male is recovering on an orthopedic care unit…
A 78-year-old male is recovering on an orthopedic care unit after an open reduction internal fixation (ORIF) of the right hip 2 days ago. The client has a history of right hip fracture, hyperthyroidism, hypertension, and bilateral cataracts. At 7:00 a.m. the client denies pain and statess that he is ready to move to a rehabilitation facility. Thirty minutes later, the nurse returns to complete a shift assessment and notices the client is lethargic, his speech is slurred and he is drooling from the left side of his mouth. What assessment data is of immediate concern? (Select all that apply)
Read DetailsA 78-year-old client, 2 days post–right hip ORIF, was alert…
A 78-year-old client, 2 days post–right hip ORIF, was alert and oriented with clear speech earlier in the morning. Thirty minutes later, the nurse finds the client lethargic, aphasic, and drooling from the right side of the mouth. What is the most likely explanation for the client’s current condition?
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