The emergency room nurse is admitting a client following an automobile accident. The client has lost a considerable amount of blood. An assessment finding indicating early hypovolemic shock would include:

A patient with chest pain that is unrelieved by nitroglycerin is admitted to the coronary care unit for observation and diagnosis. While the patient has continuous ECG monitoring, what finding would most concern the nurse?

A patient with COPD is in acute respiratory distress. The nurse determines that the patient is failing to maintain respiratory function upon finding

A patient is brought to the emergency department unconscious following a narcotic overdose. The nurse recognizes that the patient is at risk for

The client diagnosed with septicemia is receiving a broad spectrum antibiotic. Which laboratory data require the nurse to notify the healthcare provider

The nurse is planning care for a patient with severe heart failure who has developed elevated blood urea nitrogen (BUN) and creatinine levels. The primary collaborative treatment goal in the plan will be 

A client’s endocrine system is being evaluated for dysfunction as the possible origin of his current symptomology. When it is learned that the results of the water deprivation test showed a change in urine osmolality after the administration of vasopressin but no change after water deprivation, the nurse realizes that this finding is consistent with:

The nurse observes a change in the cardiac rhythm in a patient that has been admitted with a myocardial infarction.  The monitor shows rapid wide-QRS complexes without discernible p-waves.  What should the nurse do first?

A 67-year-old patient who has fallen from a ladder is transported to the emergency department by ambulance. The patient is unconscious on arrival and accompanied by family members. During the primary survey of the patient, the nurse should

To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with