An elderly patient is cared for in their child’s home. They arrive at the clinic with bruises in various stages of healing on their arms and torso. When asked about the injuries, both the patient and their family member state clumsiness as the explanation. As a nurse, what is your legal and ethical obligation in this situation?

A client is admitted to the ED with diaphoresis, pale clammy skin, and a BP of 90/70. Of the following orders. which intervention should the nurse implement FIRST?

A nurse is admitting an orthopedic fracture patient with a diagnosis of alcohol use disorder. CIWA’s are ordered every 2 hours.  Which symptoms maybe indicating alcohol withdrawal? SELECT ALL THAT APPLY:

A patient is admitted at 1500 experiencing alcohol withdrawal syndrome.  The health care provider has written an order for lorazepam, based on the patient’s CIWA scores.  The order appears as follows: Lorazepam 2mg IV now.  Then Lorazepam 1mg po every hour for a CIWA score over 15.  After two consecutive CIWA scores of 15 or less, discontinue Lorazepam order. Pt’s Medical Record appears as follows: Time 1600 1700 1800 1900 2000 CIWA score 45 35 20 10 6  How many mg Lorazepam did the patient receive from 1500-2000?  Answer with a number only.

A client is receiving norepinephrine for shock. What assessment finding best indicates a therapeutic effect from this drug? 

Which patient scenario has the highest likelihood of needing a rapid response team call? 

A patient has become addicted to hydrocodone. The patient is admitted for chemical dependency treatment. The patient may receive what medication to lessen withdrawal symptoms:

The healthcare provider has an order to administer ibuprofen lysine IV to an infant with Patent Ductus Arteriosus who weighs 1400 grams. The dose is 10 mg/kg. How many mg will be administered? Remember to label.

What are the daily maintenance fluid (24 hour total) needs of a child weighing 78 lbs? (Weight – round to tenths. Answer in whole number. )  

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