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A patient is admitted to the emergency department with the following clinical manifestations: Pulse 132 beats/minute; Blood pressure 88/50 mmHg; Respirations 32 breaths per minute; Temperature 104.8 F; Cardiac rhythm- Atrial fibrillation The nurse knows this is consistent with a possible diagnosis of:

Which patient being cared for in the emergency department does the nurse recognize as being at the highest risk for hypovolemic shock?

A patient can develop an adverse reaction to a blood transfusion. List 3 clinical manifestations that might alert the nurse to stop a blood transfusion.

A concerned mother doesn’t understand how her child acquired hepatitis A. The nurse considers that one characteristic of hepatitis A to teach the mother is:

A 60-year-old with a history of diabetes mellitus sustains a distal radius fracture. Which factor associated with diabetes can impair the healing process of their fracture?

The nurse assesses a client who is admitted with a traumatic pelvic fracture. Which assessments would the nurse monitor to prevent or detect a complication of this injury? (Select all that apply.)

A patient with leukemia is anemic, and the parent asks why. Which statement provides the best rationale for this problem?

A patient with sepsis is developing septic shock. The patient’s BP is 72/44, MAP 53, heart rate is 130, and temperature is 103.6′ F. Based on these findings, the nurse knows perfusion is at risk and interventions are needed to prevent MODS (multi-organ dysfunction syndrome). Knowing the pathophysiology of shock, what is contributing to this decreased tissue perfusion? SELECT ALL THAT APPLY:

Which of the following could place a young client at risk for a substance use disorder? 

A patient has suffered an incomplete spinal cord transection. Of the following statements, which statement would the nurse include when instructing the patient about clinical manifestations of incomplete spinal cord transection?