The nurse notes that a patient with a traumatic brain injury is having a rapid decline in level of consciousness. If the nurse suspects cerebral herniation the most appropriate intervention would be to

Following thyroid surgery, the nurse suspects damage to the parathyroid glands when the patient develops

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