A nurse is assessing a patient with rheumatoid arthritis (RA). Which finding is most concerning and requires immediate intervention?

A 56-year-old male with a history of cirrhosis presents to the emergency department with confusion, jaundice, and abdominal swelling. Lab results reveal elevated liver enzymes, increased bilirubin, and elevated ammonia levels. He is diagnosed with hepatic encephalopathy and ascites due to end-stage liver failure. (SATA)

The nurse notices that a postoperative patient’s blood pressure is 82/50 mmHg, heart rate is 122 bpm, and the patient is diaphoretic and pale. What is the nurse’s immediate action?

A nurse is assessing a patient with liver cirrhosis who presents with confusion and drowsiness. The nurse suspects hepatic encephalopathy. Which of the following is the most likely cause of this condition?

A patient with systemic lupus erythematosus presents to the clinic with joint pain, fatigue, and a new onset of swelling in both legs. Which of the following complications is the nurse most concerned about?

The nurse is preparing a patient for discharge after a liver transplant. Which of the following should be included in the discharge teaching plan? (Select all that apply)

A nurse is caring for a patient admitted with acute diverticulitis. Which of the following interventions should the nurse expect to implement during the acute phase?

The nurse is caring for a patient with liver failure who is experiencing confusion and altered mental status. The nurse recognizes that these symptoms are most likely due to which of the following?

A nurse is reviewing the medication list of a patient newly diagnosed with Rheumatoid Arthritis. Which class of medication is most likely prescribed to slow the progression of the disease?

  Name the rhythm: __________________________________  Explain your answer above:__________________________ Clinical Significance (pick one): Life threatening, go assess patient, or finish lunch (Explain why): ___________________  Potential causative factor: ___________________  Things you want to know/will assess:  _______________________ Mr. J is a 55-year-old patient admitted to the Medical/Telemetry unit. Patient is admitted with new onset of syncope with nausea/vomiting. In the ER, patient vitals are the following: B/P 120/80, HR 90 (Normal Sinus Rhythm), RR 16, SP02 97% on Room Air, Temp 37.2C (98.9F). Mr. J has a past medical history significant for HTN & Atrial Fibrillation status post ablation 1 year ago. Patient medications are the following: Lopressor (Metoprolol) 50 mg P0 BID, ASA (aspirin) 81 mg- PO Daily, and Multivitamin. All labs are pending, chest x-ray- normal.   You placed Mr. J on a telemetry monitor (#47) and contacted the telemetry technician. Rhythm demonstrates the following:     Mr. J is lightheaded and now complains of chest pain. Blood glucose is 100, B/P 85/40, SP02 92. Labs K+ 4.0 mEQ/L (3.5-5.0mEQ/L), Na+ 140 mg/dL (135-145 mg/dL), Ca+ 9.5 mg/dL (8.8-10.2 mg/dL), Mg+ 2.5 mg/dL (1.8-2.9mg/dL). Negative for Troponin, CK-MB normal.   Rapid Response was called. Please answer the following questions- What is this rhythm: ________________________?   RR Team administered started 02 at 2 L NC, administered 0.5mg Atropine and a bolus of 500 ml of Normal Saline. Do you agree with the Rapid Response Team’s interventions for this rhythm? Yes or No & why: __________________________________________________________________________________________________________________________