Blog

What portion of the duodenum includes the duodenal bulb?

A patient with a head injury has an arterial BP of 92/50 mm Hg and ICP of 18 mm Hg. The nurse uses the assessments to calculate the cerebral perfusion pressure (CPP).  How should the nurse interpret the results?

A postoperative patient receiving a transfusion of packed red blood cells develops chills, fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the transfusion, the nurse plans the next steps to ensure the patient’s safety. Which actions should the nurse include in the plan of care? Select all that apply.

A 63-year-old patient who began experiencing right arm and leg weakness is admitted to the emergency department. In which order will the nurse implement these actions included in the stroke protocol? (Put a comma and a space between each answer choice [A, B, C, D].)a.   Obtain computed tomography (CT) scan without contrast.b.   Infuse tissue plasminogen activator (tPA).c.   Administer oxygen to keep O2 saturation >95%.d.   Use National Institute of Health Stroke Scale to assess patient.

A patient is receiving 3% NaCl solution for correction of hyponatremia. The nurse recognizes that this treatment can lead to potential complications. Which assessment is most critical for the nurse to prioritize in managing the patient’s care during this infusion?

A patient has a chest wall contusion as a result of being struck in the chest with a baseball bat. Which initial assessment finding is of most concern to the emergency department nurse?

A nurse is teaching a 40-year-old woman about the importance of performing monthly breast self-examinations (BSEs). After the teaching session, which of the following patient statements indicate that the teaching has been effective? Select all that apply.

A patient who has acute myelogenous leukemia (AML) is considering treatment with a hematopoietic stem cell transplant (HSCT). Which approach would the nurse take?

An otherwise healthy 25-year-old male arrived to the emergency department today with complaints of sudden shortness of breath and left-sided chest pain. A chest x-ray confirmed a spontaneous left-sided closed pneumothorax. A chest tube was inserted into his left midaxillary area in the emergency department and he was admitted and transported to a medical unit in the hospital. Currently he is alert, oriented, and anxious. He verbalized 6/10 pain using the pain intensity scale. Vital signs: Blood pressure=138/80 mm Hg, pulse = 115 bpm, respirations = 24 breaths per minute and shallow. Left-sided breath sounds are absent upon auscultation. Oxygen saturation is 91%. His chest tube is attached to a three-chamber wall suction chest drainage unit.

A patient who is lethargic with deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 35 mm Hg, and HCO3 16 mEq/L. How would the nurse interpret these results?