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    Nclex-Rn Readiness Test 3Question 150
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    Mental Health

    A 31-year-old male client was brought to the emergency department (ED) by police after being found acting bizarrely at a local park. The client is hyper-alert and oriented. His speech is fast, and repeatedly states that 'someone is after him.' He has vomited twice approximately 100 mL of opaque fluid.

    Oral temperature 99.5 F (37.5° C)

    Pulse 110 bpm

    Respirations 22/minute

    BP 193/113 mm Hg

    Oxygen saturation 95% on room air.

    ➢ For each assessment finding, click to indicate if it is consistent with alcohol intoxication or amphetamine intoxication. Each row must have at least one, but may have more than one, response option selected.

    • A. Paranoia
    • B. Vomiting
    • C. Hypertension
    • D. Tachycardia

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