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Name Klinger Years Assignment Help: How to Answer This Question

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Name: Van Klinger Age: 26 years Provider: Z. Sallade MD Allergies: NKDA Code Status: Full code Admit Wt: 168 lbs (76.3 kg) BMI: 24.8 Nursing 10/5 0915 Neuro/Cognitive: A/Ox3. Speech is occasionally pressured and intermittently loud. Pupils 5mm, PERRLA. Sclera are bloodshot. Cardiovascular: S1&S2 heart sounds present. HR: 110. No edema. +2 radial pulses. Respiratory: Breathing regular, even, unlabored. Equal chest rise and fall. Lung sounds clear bilaterally. No cough. Psychosocial: Emotionally labile. Intermittently agitated. States use of marijuana last night, “just to get out of my head for a while.” Approx. 3-4 hours of sleep/night. History of sexual abuse as a child. 10/5 0945 Nursing Note: The client stated concern over not having any medications for bipolar disorder x 1 month. Restless and pacing around the room. States, “They didn’t give me any of my meds in prison! I’m all messed up, man! I smoked some weed last night just to try to get my mind off it, but that didn’t help!” The client intermittently made inappropriate statements towards nursing staff by stating, “Wow, I didn’t know nurses could look so hot!” Boundaries set for the nurse-client relationship. Client agreeable to seeking hospital treatment and caseworker agreeable to transferring the client to the emergency department via private vehicle. Before answering this question, review the client’s health information in the EHR. Identify the findings that are most concerning to the nurse. Select one option in each row. Concerning Not Concerning Neuro/cognitive assessment Social history Cardiovascular assessment Respiratory assessment Medication list Height/weight metrics Mood and behavior

 
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