To demonstrate clinical reasoning skills, what action does the RN take?

The following interventions are part of the emergency room  protocol for a patient who has been admitted with multiple bee stings to the hands. Which action would the nurse take first?

Questions 37-40 are based on the following information: (15 points in total) A U.S. firm holds an asset in UK and considers selling it in one year. The firm faces the following scenario of the future spot rates in one year:   State 1 State 2 State 3 State 4 State 5 Probability 20% 20% 20% 20% 20% Spot rate ($/£) 1.6 1.5 1.4 1.3 1.2 P*(£) 1200 1400 1600 1800 2000 P ($) $1920 $2100 $2240 $2340 $2400 In the above table, P* is the pound price (local price) of the asset in UK held by the U.S. firm and P is the dollar price of the asset. According to your Excel calculation, you have the following results: 

The RN observes that the patient’s central venous catheter insertion site is red and tender to touch. The patient’s temperature is 101.8° F. What should the nurse plan to do?

A patient has been admitted with an ischemic stroke. The patient received recombinant tissue plasminogen activator (rtPA) in the emergency department. The RN checks the medication administration record to make sure the patient does not have which medications for the next 24 hours? (Select all that apply)

A client is pacing the hall near the nurses’ station, swearing loudly. An appropriate initial intervention for the RN would be to address the client by name and to make what statement?

You assess five newly hospitalized clients. Which clients have the highest suicide risk? (Select all that apply.)

Which problem would the RN anticipate for a patient admitted to the hospital with diabetes insipidus?

Which laboratory result for a patient with multifocal premature ventricular contractions (PVCs) is most important for the RN to communicate to the health care provider?

The RN in the emergency department (ED) is caring for four clients. Which client does the RN assess for gas exchange abnormalities first?