[Verified Answer]: Client was diagnosed with schizophrenia…

Client was diagnosed with schizophrenia six weeks ago. RN observes client is slow to respond and unable to walk in a straight line or follow basic commands, Al times client stands stiffly and is unresponsive to questions. Client mutters, *Can’t live like this. Be gone now Toxicology screen negative. Client unable to confirm whether they have been taking their medication as prescribed.1400Provider orders electroconvulsive therapy session and RN prepares client for procedure1530ECT therapy started. Movement noted in client’s left lower extremity below inflated blood pressure cuff. Movement identified as seizure activity180018302000Client safely transported via wheelchair back to room after ECT therapy and recovery. When asked if they know where they are, client stated, “1 don’t know I just want to sleep.Client’s dinner tray arrives. Client states, ‘1 know 1 am in the hospital, but i don’t know why or how I got here. What is going on, and wtry am I so sleepy?”Client consumed 45% of dinner and asked to rest Client sleeping with eyes closed and respirations even. Will continue to check on cient hourty9/3Client observed out of bed and pacing back and forth in room. Client is agitated and appears to be speaking with someone in the room but no one eise is present. When approached, client yelled, “Get back! You are part of the government that is trying to lock me up! I will knock your head off if you come any closer* Client then crouches in corner of room and begins hitting head on wall stating. “if I kill myself first, the government can’t get me.”Client continues to hit head against wall. Attempts to approach client by health care staff unsuccessful as client continues to strike out whenever anyone approaches. Security is called and provider is notified.The client continues to exhibit concerning behavior on 9/3.Complete the following sentences by choosing from the lists of options.The nurse anticipates administering to the client when the client can be safely approached with the help of security staff. After the client is calm, the nurse will first assess for (2)and then (3lithiumvalproic acidhaloperidol1. Select answer choicesuicidal ideationvital signsphysical injuries2. Select answer choiceSinesSUreLiewsanxiety levelhallucination severitysuicidal ideationDateBlood PressureHeart RateRespiratory RateTemperatureSp029/2110/807888% RA15309/2112/788098.3 F96% RA36.8 CNursing Response”I will need to call the provider and report your confusion and sleepiness. This is not norms!*”ECT can result in short-term memory loss. As you rest and recover, you will begin to remember.””Don’t worry. I am your nurse, and I am taking good care of you. Just sleep for a while.”You underwent an electrocousive therapy treatment. The medications used during this procedure can make you sleepy:” You are in the hospital because of your schizophrenia. You were having thoughts of hurting yourself.”Therapeutic Non-therapeutePNextThe nurse assists with ellent care aurng une procedure.TIME REMAINING 00:59EXAM CONTROLSTOOL KIT :50Select the 3 priority actions the nurse should implement. Select 3 correct options.Answers: A – GAAdminister oxygen.B Monitor cardiac functioning.C Monitor sleep pattern.Reassess vital signs.E Initiate intravenous fluid bolus.F Apply additional restraints.G Adjust electrodes on temples.