A nurse in the emergency department is caring for a 68-year-…

A nurse in the emergency department is caring for a 68-year-old client with a history of hypothyroidism who was found at home confused and difficult to arouse. The family reports the client has not been taking prescribed levothyroxine for several months. Assessment findings include: Temperature: 94.8°F  Heart rate: 42/min Blood pressure: 82/50 mm Hg Respiratory rate: 8/min Oxygen saturation: 88% on room air Non-pitting edema of the face and hands Slow, slurred speech Which action should the nurse take first?

The following handoff report is provided to the nurse: Shery…

The following handoff report is provided to the nurse: Sheryl Poll is a 36-year-old female who was admitted from the ED last night. She sustained an ankle injury falling off the stage in a bar, subsequently revealing an acute manic episode. According to paramedics who responded to the 911 call, bystanders reported that she was ranting about the government and talking about how she was the only one who could “help rectify Washington’s political problems” She then jumped up on the stage and grabbed the microphone from the band leader. In the struggle that ensued, she fell off the stage and injured her ankle. Family was notified late last night and report Sheryl was diagnosed with Bipolar 1 Disorder six years ago, along with noting Sheryl has not been “sleeping or eating much for the past 2 weeks.” Lithium will be restarted this afternoon. In addition, she is prescribed quetiapine (Seroquel) and lorazepam (Ativan) to manage her manic behavior. The nurse identifies safety as a priority outcome.  Which of the following interventions support that outcome? (select all that apply)