A 17-year-old client is admitted to the ED after being alternately hyperalert and difficult to arouse.
His symptoms all started within the last few hours, during which time he became disoriented and confused. His behavior was agitated and restless, and his memory was impaired, especially for recent events. The client displayed some delusions and misinterpretations of his surroundings. The nurse's first action should be to:
1. Take the client's vital signs
2. Restrain the client to prevent injury
3. Obtain a prn order for a psychotropic medication
4. Ask the client for information about his medications
Question 2
The caregiver for a client with moderate to severe dementia tells the nurse, I'm exhausted. He wanders at night instead of sleeping, so I get no rest.
I'm afraid to leave him during the day, so I have to take him to the grocery store and to the laundromat. When I'm busy there, he often wanders off. Still, I have to do it all. The nurse rec-ognizes the need to provide teaching for this caregiver. An appropriate outcome is that the care-giver will:
1. Feel justified in putting the client in a nursing home
2. Verbalize realistic self-expectations
3. Cease abusive interactions with the client
4. Feel comfortable leaving the client alone one morning a week
A nurse shows empathy to a client.
The nurse applies a pulse oximeter sensor on the client’s finger.
Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
Testing client’s ability to identify dull sensation
Testing the Achilles tendon reflex with client in a sitting position
Position the client