Case Study: A 45-year-old male patient with acute liver failure is admitted to the hospital. His wife expresses concern about his erratic behavior and emotional outbursts, which are uncharacteristic. The nurse reviews the patient’s clinical data and discusses his care with the wife. Clinical Findings: Vital Signs: BP: 110/70 mmHg HR: 92 bpm RR: 20 breaths/min SpO₂: 98% on room air Labs: Ammonia: 150 mcg/dL (elevated) ALT: 180 U/L (elevated) AST: 220 U/L (elevated) Bilirubin: 4.5 mg/dL (elevated) Assessment: Patient appears confused and irritable. Wife reports the patient has been isolating himself and refusing to engage in conversations. Question Type: Select All That Apply (SATA)Question:Based on the patient’s condition and psychosocial needs, which nursing interventions are most appropriate to address the patient and family’s needs?

The nurse is admitting a patient with a basal skull fracture. The nurse notes ecchymoses around both eyes and clear drainage from the patient’s nose. Which admission order should the nurse question?

Which order from the health care provider will the nurse implement first for a patient who has vomited 1200 mL of blood?

A patient who is diagnosed with Parkinson disease (PD) states, “I can’t tie my shoelaces anymore.” The healthcare provider recognizes that this patient’s problem is due to a deficiency in which of these neurotransmitters?

A patient with a head injury has an arterial BP of 92/50 mm Hg and ICP of 18 mm Hg. The nurse uses the assessments to calculate the cerebral perfusion pressure (CPP).  How should the nurse interpret the results?

What portion of the duodenum includes the duodenal bulb?

A 63-year-old patient who began experiencing right arm and leg weakness is admitted to the emergency department. In which order will the nurse implement these actions included in the stroke protocol? (Put a comma and a space between each answer choice .)a.   Obtain computed tomography (CT) scan without contrast.b.   Infuse tissue plasminogen activator (tPA).c.   Administer oxygen to keep O2 saturation >95%.d.   Use National Institute of Health Stroke Scale to assess patient.

A postoperative patient receiving a transfusion of packed red blood cells develops chills, fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the transfusion, the nurse plans the next steps to ensure the patient’s safety. Which actions should the nurse include in the plan of care? Select all that apply.

A patient has a chest wall contusion as a result of being struck in the chest with a baseball bat. Which initial assessment finding is of most concern to the emergency department nurse?

A nurse is teaching a 25-year-old male patient how to perform monthly testicular self-examinations (TSEs) for early detection of testicular cancer. The patient seems hesitant and uncomfortable discussing the topic. Which responses from the patient indicate the nurse’s teaching has been effective and that the patient’s psychosocial needs have been addressed? Select all that apply.