A patient is brought to the emergency department unconscious following a narcotic overdose. The nurse recognizes that the patient is at risk for
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The nurse is planning care for a patient with severe heart f…
The nurse is planning care for a patient with severe heart failure who has developed elevated blood urea nitrogen (BUN) and creatinine levels. The primary collaborative treatment goal in the plan will be
A client’s endocrine system is being evaluated for dysfuncti…
A client’s endocrine system is being evaluated for dysfunction as the possible origin of his current symptomology. When it is learned that the results of the water deprivation test showed a change in urine osmolality after the administration of vasopressin but no change after water deprivation, the nurse realizes that this finding is consistent with:
The nurse observes a change in the cardiac rhythm in a patie…
The nurse observes a change in the cardiac rhythm in a patient that has been admitted with a myocardial infarction. The monitor shows rapid wide-QRS complexes without discernible p-waves. What should the nurse do first?
A 67-year-old patient who has fallen from a ladder is transp…
A 67-year-old patient who has fallen from a ladder is transported to the emergency department by ambulance. The patient is unconscious on arrival and accompanied by family members. During the primary survey of the patient, the nurse should
To evaluate both oxygenation and ventilation in a patient wi…
To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with
A patient with chest pain that is unrelieved by nitroglyceri…
A patient with chest pain that is unrelieved by nitroglycerin is admitted to the coronary care unit for observation and diagnosis. While the patient has continuous ECG monitoring, what finding would most concern the nurse?
The nurse on the cardiac unit is preparing to administer med…
The nurse on the cardiac unit is preparing to administer medications after receiving AM shift report. Which medication should the nurse administer first?
The PAWP is reported to be (3 mmHg) low with a blood pressur…
The PAWP is reported to be (3 mmHg) low with a blood pressure of 100/62 Currently the patient is receiving IV fluids at a rate of 50 ml per hour. Medications include Furosemide 40 mg IV daily. When presenting the patient status to the rounding provider, the nurse would anticipate the following order:
A patient in a one-car rollover presents with multiple injur…
A patient in a one-car rollover presents with multiple injuries. Prioritize the interventions that must be initiated for this patient.