A nurse is caring for a patient receiving mechanical ventila…
A nurse is caring for a patient receiving mechanical ventilation. Which assessment findings should the nurse recognize as red flag warning signs of a potentially serious ventilator-related complication? Select all that apply.
Read DetailsA nurse is caring for a patient who has been mechanically ve…
A nurse is caring for a patient who has been mechanically ventilated for 3 days. The patient suddenly develops increased oxygen requirements, asymmetric chest rise, subcutaneous emphysema, and a drop in blood pressure. The patient is afebrile and has no increase in white blood cell count. Which type of ventilator-associated event should the nurse suspect?
Read DetailsAn 88-year-old man with hypertension, type 2 diabetes, and o…
An 88-year-old man with hypertension, type 2 diabetes, and osteoarthritis presents for routine follow-up. He reports increased fatigue but denies shortness of breath, dysuria, or lower extremity swelling.• Medications: Lisinopril 10 mg daily Metformin 1000 mg BID Ibuprofen 400 mg TID for arthritis pain (started 6 months ago)• Physical Exam: BP: 128/76 mmHg HR: 78 bpm Extremities: No edemaLaboratory Findings:• Serum Creatinine: Increased from 1.1 to 1.8 mg/dL (over 6 months)• BUN: Elevated at 32 mg/dL• GFR: Estimated at 45 mL/min• Potassium: 4.9 mEq/L• Glucose: Controlled at 120 mg/dL fastingWhat is the primary concern in this patient’s case?
Read DetailsA 35-year-old woman presents to the clinic with dysuria and…
A 35-year-old woman presents to the clinic with dysuria and urinary urgency for the past 2 days. She denies fever, chills, or flank pain. She also denies any history of recurrent UTIs or recent antibiotic use. She has a sulfa drug allergy. Her vitals are BP 120/78 mmHg, HR 78 bpm, Temp 98.6°F. On physical exam, she has no tenderness to her abdomen or CVA bilaterally but has suprapubic tenderness. A Point-of-Care Urinalysis was completed, which resulted in positive leukocyte esterase and nitrites with moderate bacteria. Based on the urinalysis findings and clinical presentation, what is the best initial treatment?
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