A nurse is assessing a client with a known abdominal aortic aneurysm. Which assessment findings are consistent with an unruptured AAA? Select all that apply.
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A patient in the ICU fell off a horse 1 day prior, and has s…
A patient in the ICU fell off a horse 1 day prior, and has sustained a T5 level injury to his spine. After being placed on cardiac monitors, the patient’s heart rate is 34 bpm. The provider orders the following order set. What drug should the nurse recognize as appropriate to administer in order to increase the heart rate and prevent hypoxemia?
A client with a right tibial fracture is non-weight-bearing…
A client with a right tibial fracture is non-weight-bearing on the right leg and is learning to ambulate with axillary crutches. Which action demonstrates correct technique?
A nurse is caring for a client with DIC secondary to septic…
A nurse is caring for a client with DIC secondary to septic shock. The healthcare provider prescribes a continuous heparin infusion. Which explanation best describes the purpose of this medication?
The nurse assesses a client receiving skeletal traction for…
The nurse assesses a client receiving skeletal traction for a femur fracture. Which finding requires immediate nursing intervention?
A nurse is preparing a client with a newly implanted mechani…
A nurse is preparing a client with a newly implanted mechanical aortic valve for discharge. The client will begin lifelong warfarin therapy. Which teaching points should the nurse include? Select all that apply.
The nurse recognizes the patient most at risk for developing…
The nurse recognizes the patient most at risk for developing rhabdomyolysis is which of the following?
Which of the following are a part of the primary patient sur…
Which of the following are a part of the primary patient survey during the emergency assessment? Select all that apply.
A 68 year old patient presents to your floor with decreased…
A 68 year old patient presents to your floor with decreased LOC and hypotension. Which lab result would support the diagnosis of hypovolemic shock?
An admitting nurse is preparing a room for an older adult pa…
An admitting nurse is preparing a room for an older adult patient being admitted from a long-term care facility with altered mental status and a history of falls. Which actions should the nurse take to prepare the room for optimal patient safety? (Select all that apply)