A 54-year-old male with a history of cirrhosis and esophageal varices is brought to the emergency department after vomiting large amounts of bright red blood. He continues to retch violently and has blood trickling from the corners of his mouth. On assessment, the patient is pale, diaphoretic, and anxious. Vital signs: BP 88/54 mmHg, HR 128 bpm, RR 28/min, SpO₂ 91% on room air. Which nursing action takes the highest priority at this moment?
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A nurse is caring for a 9-year-old child admitted with suspe…
A nurse is caring for a 9-year-old child admitted with suspected acute appendicitis. Several hours after admission, the child reports that the abdominal pain has suddenly decreased. Which additional assessment finding would most strongly indicate perforation of the appendix, requiring immediate intervention?
Q29. Many patients depend on long-term antiepileptic therapy…
Q29. Many patients depend on long-term antiepileptic therapy. The nurse must be diligent to educate these patients about the potential for [option1] as an adverse effect of long-term use of antiepileptic agents.
Q27. The nurse is caring for a patient with seizure disorder…
Q27. The nurse is caring for a patient with seizure disorder. While making rounds, the nurse witnesses the patient having spasms of their arms and legs and falling to the floor. The patient initially lost consciousness and was quite groggy when awakened. Which type of seizure will be documented by the nurse?
Q47. What is the intended outcome of the chemoprotective dru…
Q47. What is the intended outcome of the chemoprotective drugs?
Q14. The nurse is providing education to a patient newly dia…
Q14. The nurse is providing education to a patient newly diagnosed with diabetes. What will the nurse include as the goals of dietary control of the disease? (Select all that apply.)
Q28. The nurse is caring for a patient with epilepsy who is…
Q28. The nurse is caring for a patient with epilepsy who is hospitalized. The patient is recovering from a seizure. What are the expected assessments and interventions by the nurse during the postictal time?
Q23. The nurse is providing education about phenytoin. Which…
Q23. The nurse is providing education about phenytoin. Which condition will be included as a common side-effect that could also indicate overdose or toxicity, especially if increased sedation and lethargy are also present?
Q33. The nurse educator is teaching a class about seizures….
Q33. The nurse educator is teaching a class about seizures. What will be included as causes of seizures? (Select all that apply.)
Q46. The nurse is providing education about chemotherapy to…
Q46. The nurse is providing education about chemotherapy to a patient who is being discharged. Which statement by the patient indicates a need for further teaching?