NursGuru
    RN Medical Surgical HESI Proctored Exam
    A 70-year-old female presents to the emergency department through triage with a noticeable facial droop and garbled speech. After having a few drinks at a local seafood restaurant, the client's husband noticed his wife's speech became difficult to understand. Flow sheets 1915 Arrival at emergency department 1920 Vital Signs: - Temperature: 98.2° F (36.8° C) - Heart rate: 92 beats/minute - Respirations: 24 breaths/minute - Blood pressure: 210/98 mmHg - Oxygen saturation: 95% on room air Imaging studies 1935 Head CT scan results: - No evidence of intracranial hemorrhage - No evidence of acute disease Orders - Obtain CT scan of the head. - Insert a large bore peripheral IV. - Start normal saline infusion at 50 mL/hour. The client continues to have stable neurologic assessments. The nurse provides interventions to promote client safety while in the hospital. Of the interventions below, explain if it promotes clients safety or not, or does both.

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