25. A 78-year-old man with a history of diabetes has confusi…
25. A 78-year-old man with a history of diabetes has confusion and temperature of 104 degrees F. There is a wound on his right heel with purulent drainage. After an infusion of 3 L of normal saline, his assessment findings are B/P 84/40 mm/Hg, heart rate 110, respirations 42 and shallow, cardiac out 8 L/min, and PAWP 4 mm/Hg. What conditions does his symptoms indicate?
Read DetailsA client on an inpatient unit is diagnosed with bipolar diso…
A client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change. What should be the nurse’s initial intervention?
Read DetailsThe client is placed under one-to-one observation and object…
The client is placed under one-to-one observation and objects strongly to being “followed around and watched” and not trusted to behave like an adult. He screams when the P.T. stays with him as he enters the bathroom. Which statement is best for the P.T. to make?
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