A nurse is caring for a client who arrived in the emergency…
A nurse is caring for a client who arrived in the emergency department after a house fire. During the initial assessment, the nurse observes burns with black, red, white, and shiny areas on the client’s left arm. How should the nurse categorize the depth of this burn?
Read DetailsA group of victims from the school bus accident has arrived…
A group of victims from the school bus accident has arrived at the emergency department. Which victim should the nurse assess first? Presenting Findings: Zane8-year-old male. Alert, oriented, wheezing bilaterally. He has an inhaler in his pocket.Danielle32-year-old female parent with a chest contusion and chest pain. She is oozing blood from a head laceration.Sara9-year-old female who is crying and holding her right arm. She has type 1 diabetes who is diaphoretic.John48-year-old male teacher who is Alert but screaming in severe pain with an obvious open fracture of the femur, bleeding controlled with direct pressure. Allergies:No known allergiesPenicillinNo known allergiesAspirin Heart Rate13070112110 Respiratory Rate30302822 Blood Pressure110/50 (70)100/52 mm Hg100/50 (57)110/70 mm Hg Oxygen Saturation95% on 2L/NC85% on 100% non-rebreather mask95% on room air92% on 2L/NC
Read DetailsA client arrives at the emergency department after a fall fr…
A client arrives at the emergency department after a fall from a ladder. The client’s right lower leg is visibly deformed with marked tenderness and crepitus. The nurse notes the foot is pale and cool. The nurse is preparing to assist the healthcare provider with splinting, which action should the nurse complete first?
Read DetailsA nurse is preparing to administer a continuous heparin infu…
A nurse is preparing to administer a continuous heparin infusion at 1600 units/hr. Available is heparin 25,000 units in dextrose 5% in water (D5W) 500 mL. What is the calculated flow rate in mL/hr? Round to the nearest whole number
Read DetailsA nurse receives a client in the emergency room who reports…
A nurse receives a client in the emergency room who reports worsening abdominal pain after experiencing blunt abdominal trauma in a motor vehicle collision. Which diagnostic procedure would the nurse anticipate the healthcare provider to order to rule out a retroperitoneal bleed?
Read DetailsA nurse arrives at the scene of a multi-vehicle collision in…
A nurse arrives at the scene of a multi-vehicle collision involving a school bus and several cars. The bus is on its side, and some children are standing nearby crying. The nurse sees downed power lines sparking near the bus. What is the priority action by the nurse?
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