A nurse is caring for a client admitted after a motor vehicl…
A nurse is caring for a client admitted after a motor vehicle collision. Assessment findings include cool, pale skin; blood pressure of 82/46 mm Hg; heart rate of 132 beats/min; respiratory rate of 28 breaths/min; and decreased urine output. The client’s abdomen is rigid and distended. Which type of shock should the nurse suspect?
Read DetailsA nurse is caring for a client who had a permanent pacemaker…
A nurse is caring for a client who had a permanent pacemaker inserted earlier in the day for symptomatic bradycardia. During the assessment, the client reports dizziness. Telemetry shows pacemaker spikes that are not followed by QRS complexes. What is the nurse’s priority action?
Read DetailsA client admitted for an acute myocardial infarction is rece…
A client admitted for an acute myocardial infarction is receiving continuous cardiac monitoring. Time / Rhythm / Heart Rate / Blood Pressure: 0800 / Normal sinus rhythm / 84 / 132/78; 1000 / Frequent PVCs / 94 / 124/74; 1200 / Runs of ventricular tachycardia / 146 / 92/60; 1230 / Sustained ventricular tachycardia / 168 / 78/40. Which interpretation by the nurse is most appropriate?
Read DetailsAn uninsured patient with a complex lower extremity fracture…
An uninsured patient with a complex lower extremity fracture arrives at a Level IV trauma center. According to the Emergency Medical Treatment and Active Labor Act (EMTALA), what is the clinical rule the facility must follow?
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