The nurse is caring for a patient with suspected acute respiratory distress syndrome. The nurse anticipates which of the following findings on examination of the patient? (Select all that apply)
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While performing a patient’s wound care for the treatment of…
While performing a patient’s wound care for the treatment of a burn, the patient has made a series of sarcastic remarks to the nurse and criticized her technique. How should the nurse best interpret this patient’s behavior?
A male patient with multiple injuries is brought to the emer…
A male patient with multiple injuries is brought to the emergency department (ED) by ambulance. His airway is stabilized and he has no active bleeding. What findings would suggest internal hemorrhage?
The nurse is triaging patients after a multi-vehicle collisi…
The nurse is triaging patients after a multi-vehicle collision. Which patient requires immediate intervention?
A patient is admitted to the emergency department (ED) with…
A patient is admitted to the emergency department (ED) with multiple visible injuries. After establishing an airway and adequate ventilation, the ED nurse prioritizes what aspect of care?
A client is brought by friends to the emergency department (…
A client is brought by friends to the emergency department (ED) after being pinned in a motor vehicle accident. The client is stable with no visible distress or wounds but is unconscious and sustained blunt trauma to the abdomen. What nursing action would be most appropriate for this client?
The nurse is caring for a patient on mechanical ventilation…
The nurse is caring for a patient on mechanical ventilation who becomes anxious and attempts to pull at the endotracheal tube. What is the best initial nursing action?
The CNA brings the nurse the following record of the patient…
The CNA brings the nurse the following record of the patient’s intake and output. 2500mL 0.9% Normal Saline, 240mL of coffee with 2 tablespoons of creamer, 120mL of broth, 6oz of jello, and 16 ounces of ice chips. What is the patient’s total daily intake? (round to the nearest who number)
A patient has suffered burns to the right arm and both legs….
A patient has suffered burns to the right arm and both legs. Delayed capillary refill and diminished pulses are noted on his right arm. Which nursing action would be most appropriate?
The nurse is assessing a patient after an episode of extreme…
The nurse is assessing a patient after an episode of extreme acidosis. The nurse carefully monitors the patient for which findings that are indicative of the compensatory stage of shock?