Please enjoy this HIV/AIDS matching question 🙂   Options are used only once or not at all.

You are caring for a victim of a sexual assault who has just been brought into the ED by a roommate by private auto.  The victim has been quiet and it has been difficult to get all the details of the events surrounding her injuries. You suspect she is having a dissociative response and that tonic immobility may have played a role in the events. The nurse is aware that:

Still thinking of the patient from the previous question: A 44 year old patient is admitted with fever and altered LOC.  Her blood pressure on admission is 74/30.  The patient is tachycardic and tachypneic and has a history of pneumonia for one week at the long-term care facility.. Temp 102.1 F, HR 114, RR 24. The patient has been started of the “Sepsis Care Bundle” using a standardized order set that follows best practices for care of sepsis and septic shock patients.  The RN anticipates which lab value to be typically followed, with repeated lab draws, while using the Sepsis Care Bundle flow sheet? Why is this lab important?

Patients in liver failure often have prolonged PT  (prothrombin) times on their lab profiles.  What is the most likely pathophysiologic cause of this abnormal lab finding?

The RN is working with the trauma team in the ED to perform the Primary Trauma Assessment on a patient just brought in by paramedics after a multiple car MVA.    As the RN moves to letter E of the assessment, what should be considered? (indicate you are familiar with letter “E” in the ABCDE mnemonic)

A patient is complaining of chest pain and suddenly goes into the following dysrhythmia. His eyes are closed and he is groaning on the bed. When you shake him and ask him if he is okay, he only makes groaning sounds, no intelligible speech. You call rapid response and they have arrived with a team and crash cart. What treatment do you anticipate?

A patient comes into the ED with an “acute abdomen”.  She explains that she has a history of gallstones and high cholesterol which she has been trying to control with diet and herbal supplements. But now her stomach really hurts a lot and maybe it’s time to consider that statin that her doctor has wanted her to take.  She also feel nauseated with vomiting the last 24 hours since eating a large meal.  She says she has had this before, but this time it’s much worse.  She denies smoking or drug use, but states she does drink wine in moderation during the week, explaining that red wine is known to be beneficial for preventing heart disease. Her labs show an elevated amylase and lipase.  You suspect…

The RN is aware that in order for the clotting cascade to properly function, the patient…

You are part of a code blue team that has responded to a Vfib code. The patient has been defibrillated x3, received two amps (1mg each) of epi, and 300mg of amiodarone. CPR is in progress and the recorder lets everyone know we are now 17 minutes into the code. At the end of this two-minute block the team leader calls to hold compression to check the monitor. This rhythm is seen:    What do you anticipate next?

You are standing at the monitor screen at the nurse’s station when you see your patient has just developed the following rhythm with a ventricular rate of 150-160 beats per minute.  This is a new development for this patient! What is the priority for the nurse? (In other words, what should happen first?)