A 72-year-old patient is brought to the emergency department…

A 72-year-old patient is brought to the emergency department after vomiting blood for several hours. The patient appears pale and anxious. Vital signs: BP: 78/48 mmHg HR: 132 bpm RR: 26/min SpO₂: 93% on room air Capillary refill: >3 seconds The provider suspects hypovolemic shock. Which clinical finding best supports this diagnosis?

A patient with systemic lupus erythematosus (SLE) arrives at…

A patient with systemic lupus erythematosus (SLE) arrives at the clinic with complaints of increased joint stiffness, oral ulcers, fatigue, and photosensitivity. She reports missing several doses of hydroxychloroquine over the past two weeks. Vital signs: T 100.8°F (38.2°C), HR 96, BP 124/78, RR 20, SpO₂ 97%. Urinalysis shows mild proteinuria. Which nursing action is the priority?

Emily Turner, a 40-year-old patient with relapsing-remitting…

Emily Turner, a 40-year-old patient with relapsing-remitting multiple sclerosis, arrives at the clinic with worsening numbness in her legs and increased muscle spasms over the last three days. She reports difficulty keeping her balance and feels extremely fatigued. Her history includes several previous flares that improved with treatment. The nurse is reviewing the plan of care to address her immediate flare and long-term disease management needs. Categorization Prompt: Drag each intervention to the appropriate category.

Case Study Scenario: A 55-year-old patient with a history of…

Case Study Scenario: A 55-year-old patient with a history of diabetes presents to the emergency department with signs and symptoms of septic shock, including fever, hypotension, tachycardia, and confusion. Blood cultures were just drawn, and recent laboratory results show elevated white blood cell count, elevated lactate, and renal impairment (elevated creatinine). The patient is not responding to the initial fluid resuscitation. Vital Signs: BP 80/50 mmHg, HR 115 bpm, RR 28, SpO₂ 88%, and Temp 101.9°F (38.8°C) Lab Results: White Blood Cell Count: 18,000/µL Lactate: 4.2 mmol/L Creatinine: 2.1 mg/dL Arterial blood gas: pH 7.29, PaCO2 32 mmHg, HCO3 18 mEq/L    Which of the following interventions should the nurse prioritize as an immediate action and which should be delayed?