During the secondary survey, the nurse performs a FAST (Focused Assessment with Sonography for Trauma) exam. The nurse knows the primary purpose of this diagnostic tool in a blast scenario is to:

The patient’s symptoms began shortly after they started seeing a new partner and stopped consistently using condoms. Over several days, they noticed a mild, nagging itch and some stinging during urination that was initially dismissed as minor irritation or dehydration. However, the discomfort soon shifted from a dull ache in the groin to a heavy, throbbing sensation in the left scrotum that made walking difficult. By the time they woke up with visible swelling and a low-grade fever, it was clear that the minor irritation had developed into a significant infection requiring a trip to the clinic. The clinic nurse suspects the patient has epididymitis, and anticipates which findings on physical examination?

It is a humid Tuesday afternoon at 2:14 PM. A crowded downtown shopping center is suddenly rocked by a massive explosion originating from a ground-floor utility room. The blast shatters floor-to-ceiling glass windows, collapses a section of the mezzanine, and sends a plume of thick, acrid smoke into the street. Hundreds of shoppers and office workers are caught in the chaos. Within minutes, the first wave of first responders arrives to find a hot zone littered with debris, victims with varying degrees of thermal burns, and individuals suffering from traumatic blast injuries.A nurse who is a member of the local disaster response team is assessing blast injuries. The nurse should plan for what event that occurs in the tertiary phase of the blast injury?

The nurse is evaluating the outcomes of care for the client. Which finding indicates that an expected outcome for the nursing diagnosis of decreased cardiac output has been met?

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

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?

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:

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?

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)

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.