Part 2 of 3 Nurses’ Notes Client admitted to the emergency d…

Part 2 of 3 Nurses’ Notes Client admitted to the emergency department with a 2-day history of lethargy, nausea, vomiting, anorexia, headache, and general muscle aches.  The client reports diarrhea, abdominal pain, and a sore throat.   Pupils are 3 mm, equal and reactive to light. Intermittent nystagmus noted. Client reports sensitivity to light.  Client is lethargic, but arouses easily and is oriented to person, place, and time. Hand grasps are strong and equal bilaterally. Bilateral breath sounds are clear and present throughout. Apical pulse is regular.    Skin is warm and dry. Pinpoint, red, macular rash noted on upper chest.   Abdomen is distended, bowel sounds are present in 4 quadrants.   Vital Signs Temperature 38.9º C (102º F)Blood pressure 168/80 mm HgHeart rate 118/minRespiratory rate 24/minOxygen saturation 95% on room air Which TWO interventions are most important for this client?

Part 1 of 3 A nurse is caring for a client who has schizophr…

Part 1 of 3 A nurse is caring for a client who has schizophrenia. Medical History Client admitted with long-standing history of non-adherence to medication regime (haloperidol 40 mg PO daily) and recreational drug use. Client presents with positive symptoms including disorganized and bizarre thoughts, persecutory delusions, and use of neologisms. Will start client on haloperidol 10 mg IM every 6 hr while hospitalized. Vital Signs Blood pressure: 192/100 mm Hg Temperature 39.6º C (103.3º F) Heart rate: 126/min Respiratory rate: 24/min O2 saturation: 92% on room air Nurses Notes Client found lying on bed in room. Sluggish response to verbal commands. Incontinent of urine. Skin diaphoretic and hot to touch.  Extremities are rigid. Vital signs obtained and provider notified. Which condition is this patient most likely experiencing?