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The patient is being discharged to a sub-acute rehab facility, and has regained some movement in their right arm, though the patient is still aphasic. The client has been placed on Apixaban (Eliquis) for the continued AFibWhen educating the daughter on Apixaban (Eliquis), which statement indicates a need for further teaching?

A 72 year-old patient, with a 40-pack-year smoking history and chronic hypertension, presents with a “gnawing” sensation in her mid-abdomen. During a routine physical, her PCP noted a prominent pulsation. The patient has a history of essential thrombocythemia (ET). Which assessment finding in the patient with a suspected AAA requires the most immediate intervention by the nurse?

The patient is diagnosed with pericarditis, and the nurse is monitoring the client for “Beck’s Triad,” Which of the following assessment findings indicates the pericarditis has progressed to cardiac tamponade?

An elderly  female patient arrives via EMS at 10:15 AM. their last known well (LKW) time was 09:00 AM, per the daughter that lives with the patient. On assessment, the patient has global aphasia and severe right-sided hemiparesis. The heart rate is 124 bpm and irregularly irregular, blood pressure is 192/104 mmHg, R 22/min, and O2 sat at 94% RA. The client has a history of A-fib for which they take coumadin. However they are non-compliant with daily administration.After arrival at the emergency room, what is the highest priority action the nurse will plan to perform in order to rapidly diagnose the presence and type of stroke?

a 19-year-old college student is brought to the ED by his roommate. He presents with a high fever, severe headache, and a stiff neck, appears photophobic, and is increasingly drowsy. Upon arrival, the patient has a temperature of 102.8°F (39.3°C), a heart rate of 122 bpm, and a blood pressure of 105/60 mmHg. The nurse notes a small petechiae on the torso.The nurse performs a physical assessment. Which of the following maneuvers would indicate a positive assessment finding for suspected meningitis?

The patient’s AKI has moved to the recovery phase, and creatinine and BUN levels have improved. He is being discharged home. The nurse provides discharge orders to the patient and his wife.Which statement by the patient indicates a need for further teaching?

The patient’s labs show a Potassium K+ of 6.4 mEq/L. The nurse visualizes the following EKG rhythm on the monitor. The nurse receives orders to treat the hyperkalemia. Hyperkalemia.png The patient asks the nurse why Dextrose 50% (D50) is administered with IV Regular Insulin? The nurse replies, “The dextrose is administered with the insulin to prevent [BLANK-1]

A chest tube is inserted and the patient has been on the unit for 4 hours. The nurse is monitoring the drainage unit, and observes the water level in the water-seal chamber rising and falling with breathing.What is the nurse’s best action based on the observation of the water-seal chamber?

 A 42-year-old carpenter is rushed to the emergency room after being in a house fire. He is alert and oriented, tachypneic, but is currently protecting their airway. They have deep partial-thickness and full thickness burns throughout the body.Which intervention is the absolute priority for the patient upon arrival?

Rank the following actions in the order they should be performed for the patient’s initial assessment and care:Insert two large-bore IV cathetersVerify airway patency and cervical spine stabilizationCalculate the TBSA and initiate fluid bolus.Remove smoldering clothing and jewelry.