A patient has been brought into the ED by EMS with no pulse or respirations. CPR was started in route and continued in the ED. Following successful resuscitation, the patient is now symptomatic with a pulse of 38 and a blood pressure of 88/44. You anticipate that the next intervention for this patient is to administer
The nurse assesses a patient who is diagnosed with Cushing’s…
The nurse assesses a patient who is diagnosed with Cushing’s disease. Which clinical manifestations does the nurse anticipate for this patient? Select all that apply
Which of the following nursing actions could result in malpr…
Which of the following nursing actions could result in malpractice?
A patient is 3 hours post thoracotomy. The chest tube draina…
A patient is 3 hours post thoracotomy. The chest tube drainage system has 300 ml of bloody drainage and intermittent bubbling in the water seal chamber. One hour later you notice that the bubbling is now constant and the patient seems to be dyspneic. Which of the following is your initial action?
The nurse notes that a patient with a traumatic brain injury…
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…
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…
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….
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 in…
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 syndr…
A patient with lung cancer develops superior vena cava syndrome (SVCS). To make the patient more comfortable, the nurse should