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 A 68-year-old patient is admitted to the ICU with cardiogenic shock after a myocardial infarction. The patient is pale, diaphoretic, and exhibiting crackles on auscultation. Based on this assessment data, lab results, and vital signs, which of the following orders would the nurse question?  Lab Test Results Normal Range pH 7.32 7.35-7.45 PaCO2 48 mmHg 35-45 mmHg PaO2 74 mmHg 80-100 mmHg HCO3- 18 mEq/L 22-26 mEq/L   Vital Signs Heart rate 122 bpm Blood pressure 92/47 mmHg Mean arterial pressure 62 mmHg Respiratory rate 28 breaths/min SpO2 91% Temperature 99.5 F  

The nurse is educating the family of a patient with increased intracranial pressure (ICP). Which of the following statements by the patient’s family requires follow-up?

The nurse observes assistive personnel (AP) care for a patient with a left hemispheric stroke. The nurse would intervene and correct the assistive personnel if the nurse observed which of the following actions?

When caring for a patient with increased intracranial pressure (ICP), which of the following nursing actions should be avoided?

A patient presents with severe hypertension and a severe headache. The nurse suspects a subarachnoid hemorrhage (SAH) hemorrhagic stroke based on which of the following additional assessment findings?

 Which clinical manifestation is most indicative of neurogenic shock?

The nurse is caring for a patient who sustained an ischemic cerebrovascular accident (CVA). Symptoms started 8 hours ago. The patient’s most recent blood pressure was 190/101 mm Hg. The nurse should take which action?

A patient presents to the emergency department (ED) with sudden right-sided weakness and slurred speech that resolved within 30 minutes. Imaging reveals no acute abnormalities. Based on these findings, the nurse suspects:

Identify the journal entry for a business that has a bank service charge to record from the bank reconciliation.  The service charge is $50.

If someone has an abrupt change in lifestyle (they were driving a Pinto, and recently purchased a BMW), it may be a warning sign of an internal control problem (they may be stealing money).