Blog

An adult collapses on the step-down unit. Assessment reveals no pulse and no respirations. The rhythm strip shows a rapid, wide-complex waveform with no discernible P waves or organized QRS complexes (pulseless ventricular tachycardia). What is the priority action?

A client with known cirrhosis arrives with profuse hematemesis, cool clammy skin, and BP 82/48 mm Hg. The provider suspects bleeding esophageal varices. Which action should the nurse implement first?

Two hours after an open cholecystectomy, a patient becomes restless and says, “I feel weird.” Skin is cool and clammy. The abdominal dressing shows a rapidly enlarging area of sanguineous drainage, and the Jackson-Pratt drain has filled with 200 mL of bright red fluid in the past 30 minutes. Vitals: BP 82/48 mm Hg, HR 128/min, RR 24/min, SpO₂ 93% on 2 L/min nasal cannula. Urine output in the last hour is 12 mL via Foley. What is the nurse’s immediate action?

At the first post-discharge clinic visit after liver transplant, you review self-management. Which instructions are appropriate to include now? Select all that apply.

A 31-year-old with known SLE is seen for follow-up after a flare treated with prednisone. She reports decreased appetite, nausea, and swelling in both lower legs. Today’s results: urine dipstick 3+ protein, trace blood; serum creatinine increased from 0.8 to 1.5 mg/dL in 10 days; BP 148/94. Which complication should the nurse suspect as the priority concern?  

A client with cirrhosis had endoscopic band ligation for bleeding esophageal varices 3 hours ago and is now returning to the unit, NPO with vital signs stable. On entering the room, which action should the nurse take first?

A 56-year-old with known cirrhosis is admitted with jaundice, tense ascites, and confusion. Labs show elevated bilirubin and ammonia. Which assessment or lab findings are consistent with hepatic encephalopathy and decompensated liver disease? Select all that apply.

A 54-year-old with alcohol-related cirrhosis is brought in for new confusion and daytime drowsiness. Family reports constipation for 4 days and a recent GI bleed that stopped yesterday. Exam shows disorientation and asterixis. Vitals: BP 108/64, HR 96, RR 20, SpO₂ 97% RA. Labs: albumin 2.6 g/dL, total bilirubin 4.8 mg/dL, sodium 129 mEq/L, glucose 92 mg/dL, BUN 32 mg/dL. Which finding best explains the patient’s mental status change?

During a preparticipation physical for a collegiate distance runner, the nurse reviews a 12-lead ECG showing sinus bradycardia at 52/min. BP is 114/58 mm Hg, oxygen saturation 99% on room air. The student denies dizziness, chest pain, or syncope and reports regular training. Which action is most appropriate?  

Begin typing your Movie Analysis Paper into a word document.  To earn credit for this rough draft, include the following: heading title introduction that includes a thesis statement listing the four interpersonal concepts you plan to discuss in the paper Then, begin typing detailed information for at least one of the four concepts you selected.  Before the 30 minutes ends, either save and attach (See “Add A File” button, below) your rough draft to this question space OR copy and past into this question area.