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After initiating treatment, which of the following findings indicates that Mr. Smith’s condition is improving? Select all that apply.

Nurses’ Notes   11:30: Patient complains of a severe headache and fatigue. States, “I just want to go sleep. I am so tired; I am having trouble reading my admission paperwork. My vision is so blurry.” Her only other complaint is thirst. Laboratory Report   Lab Results Reference range BUN 20  mg/dL 10-20 mg/dL Creatinine (Serum)        1.3 mg/dL 0.9 to 1.4 mg/dL Glucose        160 mg/dL 70-110 mg/dL Potassium(serum) 3.2 mEq/L 3.5 to 5 mEq/L Sodium (serum) 150 mEq/L 135 to 145 mEq/L Chloride (serum) 98 mEq/L 96 to 106 mEq/L        Cortisol         50 mcg/dL 5-25 mcg/dL Vital Signs Time 11:00 1130 Temp 98.2 F 98.2 F HR 110 111 RR 23 22 B/P 151/87 162/99 Pulse oximeter 94% on RA 95% on RA Pain 0/10 7/10 After the 11:30 assessment, what is the nurse’s priority action?

Which physician order should the nurse prioritize for Mr. Dorsey based on his current status?

The nurse determines a patient has a ventricular trigemity when the rhythm strip shows:

Which intervention should the nurse anticipate? 

John Smith, A 52-year-old male patient with a history of hypertension and hyperlipidemia and recently diagnosed with a brain tumor is brought to the emergency department by their spouse with complaints of excessive thirst and urination. Nurses’ Notes   0900: Patient John Smith, accompanied by spouse presents with excessive thirst and urination. Wife states patient was up to bathroom urinating every hour last night.  Patient’s current medications are Lisinopril 10 mg po daily and rosuvastatin 10 mg po at bedtime. He has an appointment with oncologist next week for his newly diagnosed brain tumor.   Vital Signs     Time 0900     Temp 98.2 F     HR 98     RR 23     B/P 118/76     Pulse oximeter 97% on RA     Pain 0     Laboratory Report   Lab Results Reference range Cholesterol 299  mg/dL 240 mg/dL high BUN 20 mg/dL 10-20 mg/dL Creatinine (Serum)        1.3 mg/dL 0.9 to 1.4 mg/dL Glucose        120 mg/dL 70-110 mg/dL Potassium(serum) 3.9 mEq/L 3.5 to 5 mEq/L Sodium (serum) 150 mEq/L 135 to 145 mEq/L Chloride (serum) 98 mEq/L 96 to 106 mEq/L Serum Osmolality 310 mOsm/kg 275-295 mOsm/kg Urine specific gravity 1.001 usg 1.005-1.030 usg After reviewing Mr. Smith’s lab results and clinical presentation, which diagnosis would be appropriate?

A 63 year old male has presented to the ER with complaints of mid-sternal chest pressure that has been ongoing for the last 2 hours.  Nurses’ Notes     1300 63-year-old male patient is being seen treatment area with sternal pain chest pain radiating down left arm that is worse with walking. Pain began 2 hours ago while walking outside. Patient also reports shortness of breath with activity. Reports taking a regular aspirin on the way to the hospital. Vital signs: T- 99 F(37.2C); HR- 110; RR- 28 bpm; B/P- 160/90; Pulse oximeter- 90% on room air; chest pain 8/10. Weight reported at 280lbs/127kg (BMI 35). Started on unit chest pain protocol. Oxygen applied, and nitroglycerin given. A peripheral intravenous line has been placed in the patient’s left arm. Morphine given. Labs drawn.   Laboratory Report     Lab Results Reference range Cholesterol (Total) 250 mg/dl 240 high WBC 10 x 103 cells/mm3 4.5 – 10.5 x 103 cells/mm3 Platelets 400,000/ mm3 140,000 to 450,000/ mm3 Potassium(serum) 3.9 mEq/L 3.5 to 5 mEq/L Sodium (serum) 140 mEq/L 135 to 145 mEq/L Magnesium (serum) 1.5 mEq/L 1.5 to 2.1 mEq/L Troponin T 0.5 ng/ml 0 to 0.04 ng/ml Creatine Kinase MB (CKMB) 170 IU/L 5 to 25 IU/L When the patient was connected to the cardiac monitor the below rhythm was observed.  The heart rate is noted to be 110 beats per minute with the above tracing. What is the nurse’s interpretation of the rhythm observed? 

Which of the following actions should the nurse anticipate or perform for the patient in DIC? Select all that apply.

From what you’ve learned about Amina, which of the following tests would be the least helpful to administer to her at this time?

Amina tells you that though she doesn’t “feel that I’m all that smart”, she states that as a child, she did an IQ test and was told that she is of average intelligence. Approximately what would be her score if that were true?