Scenario: You are responding to a call for a 60-year-old male with a history of heart disease who is experiencing chest pain. Upon your arrival on scene, you find the patient in moderate distress, diaphoretic, and with a blood pressure of 90/60 mmHg. The patient is alert and states he has taken his prescribed nitroglycerin but still has persistent pain. Enroute to the hospital: You decide to administer aspirin (chewable 325 mg) and prepare for potential nitroglycerin administration, depending on his vital signs. You also consider using oxygen to assist with his breathing. On Scene: You assess the patient further and note a heart rate of 110 bpm and an oxygen saturation of 92%. You have protocols that allow you to administer nitroglycerin if the blood pressure is above 100 mmHg. Post Scene: After administering the medications, you monitor the patient’s vital signs and symptoms throughout transport to the hospital. What should you communicate to the hospital staff upon transfer of care?

Match the type of shock (Column A) with its correct description (Column B). Each description corresponds to one type of shock. 

Match the following stages of shock:

Scenario: You are responding to a call for a 60-year-old male with a history of heart disease who is experiencing chest pain. Upon your arrival on scene, you find the patient in moderate distress, diaphoretic, and with a blood pressure of 90/60 mmHg. The patient is alert and states he has taken his prescribed nitroglycerin but still has persistent pain. Enroute to the hospital: You decide to administer aspirin (chewable 325 mg) and prepare for potential nitroglycerin administration, depending on his vital signs. You also consider using oxygen to assist with his breathing. On Scene: You assess the patient further and note a heart rate of 110 bpm and an oxygen saturation of 92%. You have protocols that allow you to administer nitroglycerin if the blood pressure is above 100 mmHg. What vital sign change would most concern you before administering nitroglycerin? 

Which type of immunoglobulin (antibody) is produced during an anaphylactic type I hypersensitivity reaction ?

A client with lung cancer had a lobectomy and a chest tube was placed. During assessment, the nurse observes that the drainage has decreased significantly over the past two hours, and the client reports increased shortness of breath. What should the nurse do first?

A nurse is assigned to care for four clients on an oncology unit. Which client should the nurse assess first?

Dobutamine is ordered at  7 mcg/kg/min. The concentration is dobutamine 1 g in 200 mL of 0.9% NS. The patient’s weight is 55 kg. how many mL/hr should the pump be set at ?__________ml/hr (Round to the nearest tenth.)   

The nurse is providing care to a client who has an elevated neutrophil count. Which explanation should the nurse provide to the client regarding this abnormality?

A nurse has educated a client on an epinephrine auto-injector (EpiPen). What statement by the client indicates the need for additional additional instruction?