[Solved]: Patient Data History and Physical Nurses’ Notes…

Patient Data History and Physical Nurses’ Notes Flow Sheet A 23-year-old female presents to the emergency department (ED) with altered mental status. She is accompanied by her roommate. The roommate says that symptoms started around 0900 today and have progressively worsened. She says the client first appeared euphoric but would switch to being irritable. The client also reported diarrhea and nausea. The client is combative. The client has a history of major depressive disorder and is being treated with paroxetine 50 mg PO once daily. Which assessment findings require follow up by the practical nurse (PN)? Select all that apply. A Diaphoresis B Myoclonus C Lung sounds D Heart rate 118 beats/minute E Temperature orally F Respirations 16 breaths/minute G Blood pressure H Altered mental status I Capillary refill