A patient is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The patient is confused and reports a headache, muscle cramps, and twitching. What lab results will the nurse anticipate? Normal lab levels Sodium (Na) 135-145 mEq/L Chloride (Cl) 97-107 mEq/L Potassium (K) 3.5-5.0 mEq/L Magnesium 1.6-2.2 mg/dL Calcium (Ca) 8.2-10.2 mg/dL Phosphorus 2.5-4.5 mg/dL Ionized calcium 4.6-5.3 mg/dL Serum osmolality 275-295 mOsm/kg Urine osmolality 250-900 mOsm/kg Creatinine 0.5-1.2 mg/dL BUN 8-21 mg/dL Hemoglobin 12-18 G/dL Hematocrit 36%-50% Lactic acid

A 32 year old patient arrives to your facility with deep dermal over the areas in red in the diagram below.  Using this diagram, calculate the TBSA% affected.  Then use this number to calculate the TOTAL ml the patient will receive with the parkland formula. Your patient weighs 220lbs. _______ml    Burn pic(1).png [BLANK-1]

You are the nurse in a busy level one trauma center and have an acutely injured trauma patient due to arrive at your facility in 10 minutes. You are responsible for the assessment of the patient upon arrival. What is the correct sequence in the assessment of the trauma patient?

Your insulin drip was started at 5 units/hour. In one hour, you recheck the patient’s blood glucose and it is now 298. What is the new infusion rate in mL/hr? Current blood glucose (mg/dL) Insulin bolus Infusion rate 80-110 No bolus No change 111-180 2 Increase infusion by 0.3units/hr 181-240 4 Increase infusion by 0.8units/hr 241-300 5 Increase infusion by 1units/hr 301-360 6 Increase infusion by 1.5units/hr 361-420 7 Increase infusion by 2units/hr 421-480 8 Increase infusion by 3units/hr [BLANK-1]

A patient with cirrhosis is experiencing an acute hemorrhage from esophageal varices. What is the nurse’s priority intervention?

The nurse is caring for a terminally ill patient and family members. The family has been tearful and sad since the terminal diagnosis was given. Which should be the nurse’s focus when planning care?

The nurse is caring for a patient who has a traumatic brain injury. The patient is having clear drainage from the nose. The nurse assesses the drainage for which laboratory finding?

A nurse is caring for several patients. Which patient is most at risk for developing pre-renal failure?

A patient who experienced a spinal cord injury 1 hour ago is brought to the emergency room. Which medication will the nurse prepare to administer to this patient?

The nurse is caring for a patient with severe allergic reaction. What should be the primary nursing assessment of the patient upon arrival to the emergency department?