Female client in emergency department

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Reference no: EM133787216

Question

The nurse is assigned to a 71-year-old female client in the emergency department. The nurse assesses the client and documents nurses' notes. Nurses' Notes 1530: Client with past medical history of anxiety, depression, coronary artery disease, hypothyroidism, and fibromyalgia presents with headache, nausea, and vomiting. Lung sounds are clear. Apical pulse is regular and fast. Bowel sounds active in all 4 quadrants. Skin is warm and moist. Peripheral pulses palpable, 3+. Client is shivering and diaphoretic. Vital Signs Temperature (F/C): 102.5° F/39.2° C Heart Rate (BPM): 126 Respirations (bpm): 22 Blood Pressure (mmHg): 151/69 Oxygen Saturation (SpO2): 98% (Room Air) Pain: 0/10 Medication Administration Record Fluoxetine 80 mg PO daily Aspirin 81 mg PO daily Atorvastatin 80 mg PO daily Levothyroxine 224 mcg PO daily Gabapentin 600 mg PO BID. Is client having MI, serotonin syndrome, neuroleptic malignant syndrome, or a panic attack?

Reference no: EM133787216

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