Bystanders start BLS measures on a patient in cardiac arrest…
Bystanders start BLS measures on a patient in cardiac arrest after being kicked in the chest by a horse. Treatment by EMS, includes an application of an AED, 1 shock was delivered, compressions are continued, and adequate ventilations with 100% oxygen via bag valve mask (BVM) were performed. Upon arrival at the emergency room, place in order the next steps the nurse will perform.A. Do not touch client while AED analyzes rhythmB. Immediately resume compressions when the AED states “No Shock advised”C. Continue compressions until the end of 2 minutesD. Stop compressions when advised by AEDE. Call for additional help from the clinic provider and other nurses
Read DetailsA 54-year-old construction foreman, initially attributed the…
A 54-year-old construction foreman, initially attributed their persistent fatigue and heaviness in their upper left abdomen to the physical demands of their job and aging. However, over the last three months, they developed significant night sweats, unintentional weight loss of 12 pounds, and bruising on the shins in the absence of any specific injury. During a routine physical, the physician noted significant splenomegaly. The patient was referred to hematology, where a bone marrow aspiration and cytogenetic testing was performed. The nurse is performing a physical assessment on the patient. Which technique is most appropriate for assessing a primary organ involved in CML-related abdominal discomfort?
Read DetailsThe cardiologist evaluates the patient and determines the pa…
The cardiologist evaluates the patient and determines the patient is a candidate for percutaneous coronary intervention (PCI). The nurse confirms the patient has a history of stage 3 kidney disease, coronary artery disease (CAD) and hypertension (HTN). The patient is transferred to the cardiac cath lab. A percutaneous Coronary intervention (PCI) is performed and a stent is placed in the left anterior descending (LAD) coronary artery and reperfusion is accomplished. The nurse is monitoring the patient 45 minutes after the placement of a coronary artery stent. The nurse assesses the insertion site at the right femoral artery, and determines the femoral access site is dry/intact, no hematoma observed. Vital signs and distal pulses remain within normal range. In order to prevent a complication of PCI, the nurse states:
Read DetailsWhile investigating an abandoned warehouse, a 28-year-old fi…
While investigating an abandoned warehouse, a 28-year-old first responder suddenly becomes overwhelmed by a chemical smell described as freshly cut grass. Within minutes, they experienced a rapid onset of blurred vision and intense eye pain and constricted pinpoint pupils. The patient develops an uncontrollable productive cough, is struggling to breathe through thick, frothy secretions, and notices involuntary muscle twitching on the arms and chest. As they collapse, they lose bowel and bladder control. Vitals are assessed with a pulse rate of 48 bpm. It is determined the patient has been exposed to a nerve agent. The provider orders atropine titrated to relief of symptoms. After the initial dose of Atropine, the nurse observes that the patient’s heart rate has increased to 110 bpm, but the lungs still have diffuse crackles and significant secretions. What is the most appropriate next action?
Read DetailsThe patient is treated and the nurse is providing education…
The patient is treated and the nurse is providing education for home care prior to discharge. The patient states they have been experiencing increased fatigue.When addressing this symptom, the nurse tells the patient: (Select all that apply)
Read DetailsWhen assessing the laboratory results of the patient with Ac…
When assessing the laboratory results of the patient with Acute Myeloid Leukemia (AML), the nurse notes that while the total White Blood Cell (WBC) count is high, the percentage of mature, functional neutrophils is extremely low. The nurse documents this finding as[BLANK-1], which indicates that the patient’s primary line of defense against bacterial infection is severely compromised.
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