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Author Archives: Anonymous

During the cardiac resuscitation pulse check, the nurse note…

During the cardiac resuscitation pulse check, the nurse notes a flat waveform on the monitor and no pulse. Which of the following actions is most appropriate? 

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A patient has been receiving heparin for a deep vein thrombo…

A patient has been receiving heparin for a deep vein thrombosis and has a platelet count of 50,000/µL (Normal Range= 150,000-400,00/µL). The nurse also assesses the presence of petechiae noted on the patient’s chest and back. What is the nurse’s priority action?

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The nurse is evaluating a patient who was treated for increa…

The nurse is evaluating a patient who was treated for increased ICP. Their previous GCS assessment findings were the following: incomprehensible sounds, no eye opening in response to pain or verbal stimuli, decorticate posturing. After reassessing the patient, which finding would indicate improvement related to motor function?

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A patient with a spinal cord injury presents with bradycardi…

A patient with a spinal cord injury presents with bradycardia, hypotension, and warm, dry skin. Which type of shock is the patient most likely in? 

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All of the following are manifestations of right sided heart…

All of the following are manifestations of right sided heart failure except: 

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A patient with hypovolemic shock shows delayed capillary ref…

A patient with hypovolemic shock shows delayed capillary refill, cool clammy skin, and their MAP is 55 mmHg. What medication should the nurse prioritize administering?

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A patient with a history of poorly controlled hypertension c…

A patient with a history of poorly controlled hypertension complains of a sudden, severe headache as the “worst headache of my life.” What condition should the nurse suspect?

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A patient with coronary artery disease reports chest pain at…

A patient with coronary artery disease reports chest pain at rest. Their 12-lead EKG shows ST depression. What is the best way to describe this patient’s chest pain?

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The nurse observes a rhythm strip showing wide, bizarre QRS…

The nurse observes a rhythm strip showing wide, bizarre QRS complexes, and no identifiable P waves. What is the nurse’s best next action?

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The nurse is caring for a patient who was admitted with a ST…

The nurse is caring for a patient who was admitted with a STEMI status post PCI 5 days ago. The nurse would anticipate all of the following medication orders except: 

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