A 35-year-old client arrives at the emergency department 10 minutes after being stung by a bee while gardening. The client appears anxious and reports “feeling strange” with tingling lips and tongue. Vital signs are: BP 90/60 mmHg, HR 115 bpm, RR 24/min, O2 sat 94% on room air. The nurse observes mild facial swelling and hears inspiratory stridor. What is the nurse’s immediate priority action?
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A 9-month-old infant is admitted with a high fever, irritabi…
A 9-month-old infant is admitted with a high fever, irritability, and poor feeding. The healthcare provider suspects bacterial meningitis. After the nurse performs the initial assessment, which intervention is the highest priority?
The nurse is caring for a trauma patient in the emergency de…
The nurse is caring for a trauma patient in the emergency department who is scheduled for a diagnostic peritoneal lavage (DPL) to assess for intra-abdominal bleeding. Which nursing action is most appropriate before the procedure?
An emergency department nurse plans care for a client who is…
An emergency department nurse plans care for a client who is admitted with heat stroke presenting with a core temperature of 106.2°F (41.2°C), altered mental status, hot dry skin, and hypotension. The nurse includes all of the following interventions in the patient’s plan of care except:
The newly diagnosed diabetic client asks the nurse why he sh…
The newly diagnosed diabetic client asks the nurse why he should check his feet every day. Which is the nurse’s best response?
During treatment of a patient who has sepsis-induced dissem…
During treatment of a patient who has sepsis-induced disseminated intravascular coagulation (DIC), the nurse will expect that collaborative care of this patient will focus on which of the following: Select all that apply:
An unconscious client is brought to the emergency department…
An unconscious client is brought to the emergency department (ED) by ambulance following a car accident. Without a family member to give informed consent, the nurse should
Evidence-based interventions to control chemo-induced nausea…
Evidence-based interventions to control chemo-induced nausea and vomiting strategically aim to prevent what complication?
The nurse caring for a client receiving brachytherapy (seed…
The nurse caring for a client receiving brachytherapy (seed implant) explains which of the following restrictions?
A nurse is assessing a client who is postoperative following…
A nurse is assessing a client who is postoperative following a vaginal hysterectomy. Which of the following findings is a manifestation of deep-vein thrombosis (DVT)?