A 31-year-old patient admitted with acute mania tells the st…

A 31-year-old patient admitted with acute mania tells the staff and the other patients that he is on a secret mission for the President of the United States. He states, “I am the only one he trusts, because I am the best!” What term will the nurse use when documenting this behavior?

A nurse in an emergency department is caring for a client wh…

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client’s vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect?

In a mass-fatality event, the nurse encounters a client with…

In a mass-fatality event, the nurse encounters a client with the following vital signs: lying on back, responds to verbal stimuli, weak thready  radial pulse with cold clammy right hand and holding his arm close to the chest, respirations at 28 breaths/min, and able to sit up with assistance.. What triage tag designation should the client get?