The nurse is caring for a 61-year-old client in the

The nurse is caring for a 61-year-old client in the emergency department. Bowtie Instructions Admission Note Vital Signs Medication Administration Record Action to Take Parameter to Monitor Condition Most Emergency Department Likely … 0900: The client is brought to the emergency department by the spouse after Parameter to Action to Take suddenly becoming disoriented and lethargic following medication Monitor administration this morning. The spouse states that the client took all morning medications but did not eat breakfast. On examination, the client has hand tremors and is diaphoretic. The client is confused but does not have extremity weakness or sensory loss. Physical examination is Actions to Take Potential Conditions Parameters to Monitor otherwise normal. Administer Dementia Seizures aspirin PO Administer Hypoglycemia Urine output glucose gel PO Screen client for Ischemic stroke Mental status tPA eligibility Assist with IV Diabetic Muscle insulin ketoacidosis weakness administration Kussmaul

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