Question

A nurse on the medical-surgical unit is caring for a client who was admitted from the emergency department (ED).

The client is at risk for developing:
A) confusion
B) tetany
C) polyuria
due to:
A) calcium level
B) hypertension
C) sodium level

Answer 1

The client in this scenario is at risk for developing confusion due to their low blood pressure and potential dehydration.

Step-by-step explanation:

The client in this scenario is at risk for developing confusion. Confusion is a common symptom in patients who have low blood pressure, like the client in this case with a blood pressure of 70/45. Low blood pressure can lead to reduced blood flow to the brain, causing confusion. In addition, the client's complaint of thirst may be due to dehydration, which can also contribute to confusion.

In summary, the client is at risk for developing confusion due to their low blood pressure and potential dehydration. It is important for the nurse to closely monitor the client's vital signs and hydration status to prevent further complications.