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?)

This semester we learned an updated mnemonic that is like the “new MONA” for cardiac patients: THROMBINS2 The R in THROMBINS2 stands for Renin-Angiotensin-Aldosterone System Blockade (whew, that is a mouthful) or ACE Inhibitors.  Which statement is true about the use of ACE Inhibitors for Acute MI patients?

One of the noticeable differences between heat exhaustion and heat stroke is that:    In heat stroke, the person stops sweating

A trauma patient in the Emergency Department (ED) is bleeding heavily from multiple wounds after a motorcycle vs SUV accident.  He has 2 large bore IVs open with normal saline flowing in and remains unconscious but in sinus tachycardia with a BP of 79/34 at this time.  The nurse considers that the priority for this patient…

You are caring for a female victim of physical assault in the ED who has been brought in by ambulance with law enforcement accompanying. The patient has multiple contusions to the face and body. There are superficial lacerations to the torso which may possibly be knife wounds or from another object. The patient is unconscious. Vital signs are BP 97/60, HR 95, RR 12, temp WNL. Your priorities are: