The nurse admitted a client with Pneumonia. The nurse assesses the client laying supine with the head of bed flat and the client’s vital signs: Respirations 35 breaths per minute, Heart rate 115 beats per minute, blood pressure 98/60 mmHg, temperature 101.5 F, SpO2 84% on room air.   What is the most appropriate action of the nurse? 

A 64 year old patient who was camping in the woods presents with mental status changes, excessive secretions, and paralysis x 4 extremities. A hiker found the patient on the ground and called EMS, but was unsure how long the patient had been down for or what happened to him. The paramedic notes bite marks on the patient’s big toe that resemble those from a snake. Based on the presentation, the patient should receive ______________________ for a _________________________ bite.

ClipClop Company sells horseshoes to customers at a discount of 4% if the customer orders more than 10,000 horseshoes in a year. The price per shoe is $2. In April, Oats Company orders 4,000 horseshoes from ClipClop. Based on past experience with Oats Company, ClipClop expects Oats to meet the volume threshold of 10,000 horseshoes by the end of the year. What amount of revenue should ClipClop record in connection with the April sale?

The charge nurse quickly walks by and hands the rhythm strip below (1) to the nurse. The nurse then assesses the client as responsive and the telemetry leads falling of the client.  The nurse applies new telemetry leads. The nurse then looks up at the cardiac monitor and sees the following rhythm strip below (2).  What should the nurse most appropriately identify the first rhythm as in regards to the client’s condition and situation?  1. Rhythm strip:   2. Rhythm strip:   

A client is admitted for an ischemic stroke with onset of symptoms starting 2.5 hours ago. The physician ordered Tissue Plasminogen Activator (TPA) for administration. The nurse is reviewing the client’s medical history and chart. Which data should the nurse immediately notify the provider about? 

A 69 year old former coal miner presents with shortness of breath and his CT scan reveals extensive fibrosis in his lungs. Twenty minutes into his ER admission, his O2 saturation is 58% on 100% non-rebreather. He is intubated for hypoxic respiratory failure . The patient is put into Assist Control-Volume Control (AC VC), but his ventilator keeps alarming for high peak airway pressures, which is impacting his ability to receive ventilator delivered breaths. Given the history, physical, and radiologic findings, which of the following interventions would be most helpful in helping the patient synchronize with the ventilator?

The declaration of a friend function cannot be placed within the private part of the class.

When a finance lease is recorded at the signing of the lease, the lessee typically debits: 

Which of the following patients would warrant intubation? Select all that apply A. A patient admitted with shortness of breath secondary to pulmonary edema which the physician believes can be quickly reversed with a diuretic B. A patient with pneumonia whose blood gas is the following: 7.38/pCO2 40/pO2 88/ HCO3 26/O2 saturation 96% on 3L nasal cannula C. A patient found down pulseless in ventricular fibrillation D. A patient who sustained burns to the face, and inhaled a large amount of smoke, now breathing 37 breaths/min. E. An alcoholic who was found on the ground unconscious and is not waking up to sternal rub

A 94 year old presents to the ER with shock secondary to urosepsis and is receiving 1L of 0.9% NSS started by the paramedic. On admission, her BP is 52/37 (MAP 42), HR 99 and the physician orders a vasopressor be ordered through her peripheral IV. The physician orders this vasopressor that stimulates beta-1 receptors at certain doses, and alpha-1 receptors at higher doses.