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Which of the following assessments on a patient with MODS is indicative of failure occurring in the cardiovascular system?

The emergency department nurse has just admitted a patient with a burn. What characteristic of the burn will primarily determine whether the patient experiences a systemic response to this injury?

A client admitted to the ED with severe diarrhea and vomiting is subsequently diagnosed with food poisoning. The nurse caring for this client assesses for which signs and symptoms of fluid and electrolyte imbalances? Select all that apply.

An immunocompromised older adult has developed a urinary tract infection and the care team recognizes the need to prevent an exacerbation of the client’s infection that could result in urosepsis and septic shock. What action should the nurse perform to reduce the client’s risk of septic shock?

A patient is being cared for in the Neurological Intensive Care Unit following a spinal cord injury. Which of the following assessment findings indicate the patient may be experiencing spinal shock?

The new patient was in a motor vehicle trauma and sustained a blunt force blow to the chest from the steering wheel. He arrives at the ER with complaints of left sided chest pain on inspiration. He has dyspnea, pallor and his pulse ox is 88%. The rest of his VS PR 130, RR 28, and BP 160/94. The triage nurse understands to prioritize which interventions for this client?

An emergency department nurse has just admitted a client with a burn. The burn area is the anterior upper chest and left anterior arm. Using the rule of nine, what would be the extent of the burn injury?

A nurse is caring for a client who was hit on the left side of the head with a baseball bat. Which of the following assessments should the nurse perform?

An ED nurse is triaging clients according to the Emergency Severity Index (ESI). When assigning clients to a triage level, the nurse will consider the clients’ acuity as well as what other variable?

A client is receiving a unit of PRBC due to GI bleeding. The nurse assesses the client after 15 minutes and the client complains of flank pain develops urticaria and shortness of breath.  The nurse suspects [condition]. The nurses priority action is [priority] and to monitor [parameter]