Question

a client who has been using a combination of drugs and alcohol is admitted to the emergency unit. behavior has been combative and disoriented. the client has now become uncoordinated and incoherent. what is the priority action by the nurse?

Answer 1

Complete a complete evaluation, which should include a Glasgow Coma Scale, and then put the client somewhere where they may be checked on frequently.

When tapping a customer's chest What may the nurse anticipate hearing?

Because the lungs are filled with air rather than dense tissue, resonance is the typical sound produced while percussing them. However, if a client has adipose tissue or a muscular chest, the sound may be more dull or flat because of the altered density.

Which indication of peritonitis will the nurse evaluate in a patient?

C. "The nurse should keep an eye out for the patient's signs and symptoms of peritonitis, which include an elevated fever, rapid breathing, increased heart rate, and severe abdominal pain."

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