1730: 35-year-old male was brought to the emergency department (ED) by his father after they were working on electrical wiring at a residential house. The client's father witnessed his son grab a wire and sustain a significant 'jolt' for five to ten seconds. The client briefly lost consciousness and was disoriented immediately afterward. The client was immediately placed in the father's car and transported to the ED. A localized burn was noted on the client's right hand. Scant sanguineous drainage noted. The client reports pain of a '6' (0= no pain; 10= severe pain) that is worsened with movement. The client is alert and oriented to place and time; however, he does not recall the situation that brought him to the hospital. Glasgow Coma Scale (GCS) 14. The client reports that he feels like his 'heart is intermittently skipping.'

Oral Temperature 101 ^o F (38.3^o C)

Heart rate 94/minute, irregular

Respirations 19/minute

Blood pressure 115/69 mm Hg

Oxygen saturation 95% on room air