A nurse is caring for a client who has late-stage Alzheimer’…

A nurse is caring for a client who has late-stage Alzheimer’s disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?

The client admitted after a fall from the roof is being moni…

The client admitted after a fall from the roof is being monitored for adequate cerebral perfusion pressure (CPP). His current blood pressure is 113/42 and his intracranial pressure (ICP) is 26 after 1 bottle of mannitol being administered.  The nurse would report to the provider the current CPP is _______. (round to a whole number) 

The nurse received the following report:  S) Mr Raymond, a 4…

The nurse received the following report:  S) Mr Raymond, a 48-year-old man, comes in complaining of severe abdominal pain 10 out of 10 B) He has a six-month history of DMII with poor control. He states he hasn’t eaten for 12+ hours which initially made the pain decrease slightly then it returned. He states he drinks a six-pack or 2 after work each evening.  A) He is alert and oriented times 4, no neuro deficits, lungs are clear with bilateral breath sounds. Vital signs are T 101.8F, HR 126, RR 26, BP 119/64. He has bruising noted around the umbilicus and abdominal tenderness especially in the left upper quadrant. What orders does the nurse anticipate? Select all that apply