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A trauma client in the ER is receiving multiple units of packed red blood cells and begins to exhibit flushing, stridor, and a decrease in blood pressure. Which medication is the priority for the nurse to administer?

The nurse is caring for a client with burns to 70% of his body. The nurse assesses the burns and notes that the majority of the burns are red, wet, and weeping. The burns are extremely painful. The nurse informs the client that although the burns are painful, they should heal within 1-3 weeks and typically have minimal scarring. These burns can be classified as:

A client is admitted to the ER with complaints of headache and fever.  The client is suspected of having meningitis, which would be indicated by all the following assessments except:  

The nurse is caring for a client with disseminated intravascular coagulation (DIC). The nurse knows the following statements are accurate regarding DIC: (Select all that apply)

The nurse is caring for a 17-year-old male involved in a house fire who sustained 2nd and 3rd degree burns to the anterior and posterior aspects of both legs, the entire anterior chest and abdomen, and entire posterior back. Given the burn surface area sustained, determine the percentage of body surface area burned using the Rule of Nines.  [BLANK-1]%

The nurse is preparing to assist with an escharotomy in the burn unit. The nurse is aware that the purpose of an escharotomy is to: 

A client has clear fluid leaking from the nares after a bibasilar skull fracture. The nurse assesses that this is CSF if the fluid: 

The nurse is caring for a client admitted following a blunt force injury to the left thorax and chest. The client presents with dyspnea, increased work of breathing, hypoxia, and paradoxical chest movement. Upon auscultating the lungs, breath sounds are present bilaterally.  Given the client presentation, which intervention is not a priority?

Due to a motor vehicle accident, the client sustained a traumatic brain injury (TBI) and is intubated and sedated. An intraventricular catheter and external ventricular drain (EVD) were placed in the ICU, as well as a foley catheter. Which findings would warrant immediate action by the nurse?

The nurse is caring for a 30-year-old client who underwent an exploratory laparotomy after sustaining a gunshot wound to the abdomen. Nursing documentation: The client is 7 hours post-op in the intensive care unit. Rates pain a 4 on the 1-to-10 pain scale. Client appears lethargic, but oriented x4 and cooperative. Lungs clear bilaterally. Abdomen is hard and distended. The nurse notes increasing drainage in the client’s abdominal drain.Vital signs are: Temp 98.1, HR 122, BP 89/50, RR 26, O2 94% on RA.