A nurse in the ED assesses a 17-year-old patient. The patien…
A nurse in the ED assesses a 17-year-old patient. The patient’s friend reports that the patient had vomited in the car prior to arriving at the ED. Patient’s vital signs are T-97.3 F, B/P 98/52 mm hg, Apical pulse 46 bpm, RR 7 breaths per minute. The patient’s body feels cold, skin is pale and muscle tone is flaccid. Patient does not rouse to name, or physical stimuli. Which action should the nurse take first?
Read DetailsThe nurse working the emergency department cares for a pati…
The nurse working the emergency department cares for a patient with Alzheimer’s who has sustained an injury that resulted in a fractured arm. The patient lives with his son who is also his caregiver. The caregiver cannot explain how the fracture occurred. Upon assessment the nurse notes the following: patient is malodorous, has urine soaked clothing and dried fecal matter lower extremities, has a stage 2 pressure ulcer on coccyx, bruising in various staging of healing on patient’s back and upper buttocks. Additionally the patient’s BMI is 16.4. Based on this information which action should be a priority for the nurse
Read DetailsThe nurse is caring for a client on an inpatient unit is dia…
The nurse is caring for a client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change. Which should be the nurse’s initial intervention?
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