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The client is a 28-year-old male who collapsed while mowing the lawn. When the ambulance arrived, he was having a tonic clonic seizure. His internal body temperature was 109.4° F (43° C). The paramedics administered rectal diazepam and intubated him with an 8.0 mm endotracheal tube. They placed ice packs on the client for rapid cooling. Highlight the assessment findings that require immediate attention. Heart rate 79 beats/minute, blood pressure 118/75 mm Hg, respiratory rate 14 breaths/minute, oxygen saturation 94%, temperature 102.2 °F (39 °C. Noted that the client opens his eyes to painful stimuli, does not follow commands. Skin is pink and warm to touch. Noted 16 mL dark yellow urine from the condom catheter. Pupils are 4 mm and reactive. Central line dressing is soaked with blood. Ecchymosis noted under the blood pressure cuff.
SCIENCE
HEALTH SCIENCE
NURSING

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