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A patient arrives via EMS complaining of a tearing pain radiating to their back. The patient is diaphoretic and the skin appears ashen. History includes uncontrolled hypertension and a 40-year-pack a day smoking history. Vital signs: BP: 190/110 mmHg (Right Arm), 180/95 mmHg (Left Arm). HR: 118 bpm, and SpO2: 94% on RA.Based on the discrepancy in blood pressure between arms and the description of the pain, which condition should the nurse prioritize?

Which lab value is most important for the nurse to monitor to ensure the patient’s hemophilia is being managed during this inflammatory episode?

 A 36-year-old male brought to the Emergency Department by EMS following a motor vehicle accident. He was an unrestrained\ passenger in a  right side-impact collision. Upon arrival, he is alert but distressed, complaining of excruciating pain to his right chest and “not being able to catch a full breath.” The nurse exposes the patient’s chest during assessment, and notices a section of the right lateral chest wall that appears to move inward during inspiration and outward during expiration, and his breath sounds are significantly diminished on the right side. The physician notes that while the flail segment is currently stable, the primary concern for the patient isn’t just the broken bones, but other underlying injuries such as a [BLANK-1].

 A patient reports for the last two days, they have felt a “weird, burning ache and intense itching” along their left ribcage. This morning, they noticed a cluster of small, fluid-filled blisters in the same exact spot. Which intervention should the nurse recommend?

During a visit to the family practice clinic, the nurse notices a cluster of small, red sores around a pediatric patient’s mouth. Some of the sores have ruptured and are covered with a thick, honey-colored crust, and the mother states they are “very itchy.” The provider evaluates the patient and determines it is bulbous impetigo. The provider prescribes topical Mupirocin (Bactroban) for the localized lesions. Which of the following instructions will the nurse educate regarding applying this medication?

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?