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A patient with cirrhosis is experiencing an acute hemorrhage from esophageal varices. What is the nurse’s priority intervention?

A patient with cirrhosis and esophageal varices has a new prescription for propranolol (Inderal). Which assessment finding is the best indicator that the medication has been effective?

A patient is prescribed epinephrine for the prevention of anaphylactic shock. The patient states, “I thought shock was about heart failure.” Which response by the nurse is most appropriate?

A nurse is assessing a patient with a recent intracranial hemorrhage. The patient opens his eyes to pain only, displays decorticate posturing, and has incomprehensible speech. Based on the Glascow Coma Scale (GCS) the patient has a score of seven. What is the patient’s neurologic status?

A 78 year old female patient presents to the ED from a local long term care facility with complaints of altered level of consciousness. She is normally awake, alert and oriented to person, place and time and has had no prior episodes of confusion. What laboratory value would signify this patient may have early sepsis?Normal lab levels Sodium (Na)135-145 mEq/LChloride (Cl)97-107 mEq/LPotassium (K)3.5-5.0 mEq/LMagnesium1.6-2.2 mg/dLCalcium (Ca)8.2-10.2 mg/dLPhosphorus2.5-4.5 mg/dLIonized calcium4.6-5.3 mg/dLSerum osmolality275-295 mOsm/kgUrine osmolality250-900 mOsm/kgCreatinine0.5-1.2 mg/dLBUN8-21 mg/dLHemoglobin12-18 G/dLHematocrit36%-50%Lactic acid

When providing care for a patient receiving peritoneal dialysis, the nurse notices that the peritoneal effluent is cloudy. Which intervention is the most important for the nurse to carry out?

The nurse is caring for a patient who has a traumatic brain injury. The patient is having clear drainage from the nose. The nurse assesses the drainage for which laboratory finding?

A nurse is caring for several patients. Which patient is most at risk for developing pre-renal failure?

A patient who experienced a spinal cord injury 1 hour ago is brought to the emergency room. Which medication will the nurse prepare to administer to this patient?

Dopamine (intropin) is ordered for your septic patient to maintain a MAP of 65 or greater.  The Dopamine is mixed 400 mg in 250ml of D5W.  Your patient’s IV is running at 43 ml/hr.  What dose (mcg/kg/min) is your patient receiving is she weighs 76kg? __________mcg/kg/min.  Answer with number only            [BLANK-1]