52. A patient taking phenytoin (Dilantin) for 2 weeks develo… 52. A patient taking phenytoin (Dilantin) for 2 weeks develops a widespread rash with mucosal involvement and fever. The nurse’s priority intervention is to: Read Details
74. Two weeks after total hip arthroplasty, a patient report… 74. Two weeks after total hip arthroplasty, a patient reports the operated leg appears shorter than the other, with severe pain and an ‘out of joint’ sensation. The nurse suspects hip dislocation and should: Read Details
64. A patient with HIV has a CD4⁺ count of 180 cells/μL and… 64. A patient with HIV has a CD4⁺ count of 180 cells/μL and presents with white patches in the mouth that cannot be scraped off. The nurse recognizes this as: Read Details
28. A patient who had a stroke yesterday is alert and asks f… 28. A patient who had a stroke yesterday is alert and asks for water. Before allowing oral intake, the nurse should first: Read Details
13. After receiving report on four patients with dementia, w… 13. After receiving report on four patients with dementia, which patient would the nurse assess first? Read Details
38. A patient with a T6 spinal cord injury is being discharg… 38. A patient with a T6 spinal cord injury is being discharged home. Which instructions would the nurse include to prevent autonomic dysreflexia? (Select all that apply.) Read Details
29. A patient receiving IV tPA for ischemic stroke suddenly… 29. A patient receiving IV tPA for ischemic stroke suddenly develops a severe headache and blood pressure rises to 200/120 mm Hg. What is the nurse’s priority action? Read Details
23. A patient with suspected bacterial meningitis has orders… 23. A patient with suspected bacterial meningitis has orders for blood cultures, lumbar puncture, IV ceftriaxone, and IV dexamethasone. Which sequence would the nurse follow? Read Details
54. A patient has a burn on the anterior chest and both enti… 54. A patient has a burn on the anterior chest and both entire arms. Using the Rule of Nines, the nurse calculates the total body surface area burned as: Read Details
94. A 90-kg burn patient with 35% TBSA requires Parkland for… 94. A 90-kg burn patient with 35% TBSA requires Parkland formula resuscitation. What is the IV rate for the first 8 hours? Read Details