A 42-year-old woman presents with 10 months of bilateral wri…
A 42-year-old woman presents with 10 months of bilateral wrist and hand swelling, morning stiffness lasting 3–4 hours, fatigue, and unintentional weight loss of 12 pounds. Lab results: RF positive, anti-CCP positive, ESR elevated, CRP elevated. She is prescribed methotrexate (Trexall) 15 mg weekly. Three months after starting methotrexate, the patient calls to report severe fatigue, bruising on both arms, painful mouth sores, and a sore throat. Which action by the nurse is MOST appropriate?
Read DetailsPRIORITY RANKING — A patient with bilateral femur fractures…
PRIORITY RANKING — A patient with bilateral femur fractures suddenly reports shortness of breath, restlessness, and chest tightness 36 hours after admission. The nurse suspects fat embolism syndrome. Rank the following actions in order of priority (enter 1, 2, 3, or 4 for each option — 1 = FIRST action): A. Apply supplemental oxygen via face mask B. Assess oxygen saturation via pulse oximetry C. Obtain a complete set of vital signs D. Notify the healthcare provider with assessment data
Read DetailsPRIORITY RANKING — A patient with a tibial fracture in a pla…
PRIORITY RANKING — A patient with a tibial fracture in a plaster cast reports escalating pain rated 10/10 that is not relieved by IV morphine. The toes are pale, cool, and the patient cannot move them voluntarily. Rank the following nursing actions in order of priority (enter 1, 2, 3, or 4 for each option — 1 = FIRST action): A. Perform a complete neurovascular assessment and document findings B. Keep the extremity at the level of the heart — do NOT elevate above it C. Notify the healthcare provider immediately with assessment data D. Prepare to assist with cast bivalving per healthcare provider order
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