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Jesus Martinez is a 46-year-old Hispanic male on your unit. He was admitted 2 days ago for exacerbation of his schizophrenia, and is positive for command auditory hallucinations. He has been paranoid and feels that the government is looking for him. His psychiatrist started him on clozapine on admission. The mental health worker assigned to this client has alerted you that the client’s temperature is 101ºF, an increase in a vital sign,andhe is diaphoretic. Additionally, he reports that the client is “not very alert;” his muscles are rigid with some dyskinesia and drooling. (Learning Objectives 10, 15) 1. What do you feel is happening to your client and why? 2. Describe what nursing actions you would need to take in this case and why? 3. Is this client in a crisis situation?Why or why not? |