The nurse is caring for a diabetic patient who was admitted with severe vomiting for the past 3 days. The patient has been unable to tolerate anything by mouth for 48 hours. On admission to the emergency department the patient’s blood glucose was 600mg/dl; B/P; 76/60; heart rate 128 irregular and thready; respirations 38 and shallow; skin cold, clammy with cyanosis noted of the hands and feet. This data is reflective of which type of shock?

An elderly man arrives in triage disoriented and tachypneic. His skin is hot and dry to touch. According to his wife he was fine earlier in the day. The priority for treatment at this point is to

The patient with neurogenic shock is receiving a Dopamine infusion through a left-forearm peripheral IV. Which assessment information obtained by the nurse indicates a need for immediate action? The patient’s

A patient with lung cancer develops superior vena cava syndrome (SVCS). To make the patient more comfortable, the nurse should

A patient experiences acute myocardial ischemia. The nurse administers oxygen and sublingual nitroglycerine. When assessing an electrocardiogram (ECG) for evidence that blood flow to the myocardium has improved the nurse should focus on the

When a nurse’s perceived role comes into conflict with the role that is being performed, which of the following occurs?

Which findings would cause the nurse to suspect that a post-coronary artery bypass patient might be developing cardiac tamponade?                Select all that apply

A patient comes to the ED complaining of chest pain, onset approximately 20 minutes ago. ECG shows ST elevation in Leads II, III, and AVF. The patient is diaphoretic and complaining of “crushing chest pain” that is 10 on a 0-10 scale. The nurse anticipates management of this patient will focus on

A patient’s arterial blood pressure is 90/48 mm Hg and intracranial pressure is 18 mm Hg. Using these values calculate the patient’s cerebral perfusion pressure (CPP). The patient’s CPP equals . You determine that the CPP indicates

You have just completed doing a 12- lead electrocardiogram on a patient who is complaining of chest pain. You notice that there is ST segment elevation in Leads V1-V4. This is a classic hallmark sign of the patient having