A patient presents to the emergency department with a blood…
A patient presents to the emergency department with a blood pressure of 220/134 mmHg, severe headache, blurred vision, and confusion. The nurse recognizes this as hypertensive crisis. What action by the nurse demonstrates appropriate understanding of management priorities?
Read DetailsA nurse is caring for a client who was started on a new anti…
A nurse is caring for a client who was started on a new antihypertensive medication earlier today. During morning rounds, the client reports feeling “lightheaded” when standing up. The nurse notes the client’s blood pressure is 118/76 mmHg while lying down and 94/60 mmHg upon standing. What is the nursing priority?
Read DetailsA nurse is caring for a patient with a bacterial infection a…
A nurse is caring for a patient with a bacterial infection and understands that the antibody-mediated (humoral) immunity will play a major role in the patient’s defense. Which site is responsible for the initial development of the primary immune cells involved in this response?
Read DetailsA 67-year-old patient is admitted with suspected infection….
A 67-year-old patient is admitted with suspected infection. The nurse notes the following assessment and diagnostic data: Temperature: 101.5°F (38.6°C) Heart rate: 112 bpm Respiratory rate: 24/min WBC: 14,500/mm³ BP: 104/68 mmHg Patient reports feeling “anxious and short of breath.” Short Answer 1: Which finding(s) are not consistent with Systemic Inflammatory Response Syndrome (SIRS)? Short Answer 2: Which type of shock is the patient most likely to develop? Short Answer 3: If untreated what can SIRS lead to?
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