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A 78 year old female patient presents to the ED from a local long term care facility with complaints of altered level of consciousness. She is normally awake, alert and oriented to person, place and time and has had no prior episodes of confusion. What laboratory value would signify this patient may have early sepsis?Normal lab levels Sodium (Na)135-145 mEq/LChloride (Cl)97-107 mEq/LPotassium (K)3.5-5.0 mEq/LMagnesium1.6-2.2 mg/dLCalcium (Ca)8.2-10.2 mg/dLPhosphorus2.5-4.5 mg/dLIonized calcium4.6-5.3 mg/dLSerum osmolality275-295 mOsm/kgUrine osmolality250-900 mOsm/kgCreatinine0.5-1.2 mg/dLBUN8-21 mg/dLHemoglobin12-18 G/dLHematocrit36%-50%Lactic acid

When providing care for a patient receiving peritoneal dialysis, the nurse notices that the peritoneal effluent is cloudy. Which intervention is the most important for the nurse to carry out?

The nurse is caring for a patient who has a traumatic brain injury. The patient is having clear drainage from the nose. The nurse assesses the drainage for which laboratory finding?

A nurse is caring for several patients. Which patient is most at risk for developing pre-renal failure?

A patient who experienced a spinal cord injury 1 hour ago is brought to the emergency room. Which medication will the nurse prepare to administer to this patient?

Dopamine (intropin) is ordered for your septic patient to maintain a MAP of 65 or greater.  The Dopamine is mixed 400 mg in 250ml of D5W.  Your patient’s IV is running at 43 ml/hr.  What dose (mcg/kg/min) is your patient receiving is she weighs 76kg? __________mcg/kg/min.  Answer with number only            [BLANK-1]

A patient with massive trauma and possible spinal cord injury is admitted to the ED. The nurse suspects that the patient may be experiencing neurogenic shock based on which finding?

The nurse is caring for a patient with severe allergic reaction. What should be the primary nursing assessment of the patient upon arrival to the emergency department?

The nurse is caring for a 58 year old patient with acute renal failure. Which assessment finding requires immediate intervention by the nurse?

What is the function of structure 4?