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The nurse is caring for the client admitted to the ED. Ad…
The nurse is caring for the client admitted to the ED. Admission note Significant Medical History Vital Signs The 67-year old client is accompained by his spouse. Police were called to their home after the client threatened his wife and others in the home with a bread knife, stating “get out; you can’t steal from me again.”. Police were able to de-escalate the client. Spouse stated he had one similar episode a year ago using a bow (no arrow), but she was able to de-esclate him. Dementia Lewy Body diagnosed 3 years ago REM sleep disorder Sleep apnea bradycardia (pacemaker inserted 2 years ago) Bp- 100/46 Heart rate -66 Respiration- 22 Temperature- 98.3 F SpO2-92% on RA Question: What additional information would be most important for the nurse to further assess to plan for the IMMEDIATE care of this client? Select the 5 most important aspects for the nurse to further assess.
The nurse is caring for the client admitted to the ED. Ad…
Questions
The nurse is cаring fоr the client аdmitted tо the ED. Admissiоn note Significаnt Medical History Vital Signs The 67-year old client is accompained by his spouse. Police were called to their home after the client threatened his wife and others in the home with a bread knife, stating "get out; you can't steal from me again.". Police were able to de-escalate the client. Spouse stated he had one similar episode a year ago using a bow (no arrow), but she was able to de-esclate him. Dementia Lewy Body diagnosed 3 years ago REM sleep disorder Sleep apnea bradycardia (pacemaker inserted 2 years ago) Bp- 100/46 Heart rate -66 Respiration- 22 Temperature- 98.3 F SpO2-92% on RA Question: What additional information would be most important for the nurse to further assess to plan for the IMMEDIATE care of this client? Select the 5 most important aspects for the nurse to further assess.