A client is admitted after a motorcycle accident with multip…
A client is admitted after a motorcycle accident with multiple traumatic injuries. The client has facial and forearm lacerations, a fractured femur, and an X-ray confirming a C7 vertebral fracture. On assessment, he is alert and oriented, pupils are equal at 5 mm and reactive to light, but he has no sensation in his legs or feet. Which nursing action is the priority?
Read DetailsA nurse educator is educating new nurses about the various m…
A nurse educator is educating new nurses about the various medications used to manage seizure disorders. Which of the following medications should the nurse include as commonly used for the treatment of seizures? Select all that apply
Read DetailsA 62 y/o male is arriving via Emergency Medical Services (EM…
A 62 y/o male is arriving via Emergency Medical Services (EMS) with chest pain. Nurse’s Note: 12/16/23 1010: 62 y/o male c/o crushing sternal pain, radiating down the left arm. States the pain becomes worse with activity and started approximately two hours ago while shoveling snow. Patient states he is also short of breath with activity. Pt is ALOx3. Lungs clear throughout. Abd soft, nontender, bowel sounds active. Pt states urinary output is “normal” with no c/o of odor, pain, pressure. Skin is C/D/I. 18G in the left forearm. Vital Signs: 98.4 F, HR – 112, RR – 18, BP 162/89, Pulse Ox: 93% on RA ECG: Sinus Tachycardia rate 112 bpm. ST elevation noted in V3 and V4 Laboratory Results: Lab Results Reference Range: WBC 9 x 10^3 cells/mm3 4500–11,000/mm3 RBC 5.3 × 106/μL 4.7-6.1 × 106/μL Hgb 15.8 g/dL Male: 14–17.4 g/dL Hct 44% Male: 42–52% Plts 254,000/mm3 140,000–400,000/mm3 Na 144 mEq/L 135-147 mEq/L Cl 104 mEq/L 95-106 mEq/L K 4.8 mEq/L 3.5-5.3 mEq/L CO2 29 mEq/L 22-30 mEq/L BUN 12 mg/dL 6-20 mg/dL Cr 1.1 mg/dL 0.6-1.3 mg/dL Troponin T 0.7 ng/mL 0-0.04 ng/mL Creatine Kinase MB (CK-MB) 187 IU/L 5-25 IU/L Cholesterol 265 mg/dL 240 high The client has now received fibrinolytic therapy post Percutaneous Transluminal Coronary Intervention (PTCI). Select whether the intervention is indicated or contraindicated post fibrinolytic therapy.
Read DetailsA client is scheduled to undergo a resection of the prostate…
A client is scheduled to undergo a resection of the prostate. When recording the health history, the nurse asks the client about his chief complaint. Which of the following complaints is the most serious symptom that can accompany benign prostatic hypertrophy (BPH)?
Read DetailsA nurse is caring for a client who reports to the clinic for…
A nurse is caring for a client who reports to the clinic for laboratory tests. The client has an acute kidney injury caused by acute tubular necrosis and asks why their glomerular filtration rate keeps decreasing. Which of the following pathophysiological changes occurring in the kidney should the nurse explain as the cause of decrease?
Read Details