A voter mailed in an absentee ballot with no return address during New Campbell’s most recent gubernatorial election. The vote did not count because there was no identification on it. But the envelope caught the interest of the election workers because it was mailed with a rare stamp worth over $100,000. Once the story was reported in the local (and soon the national) news, the voter identified herself as Martha Hiddelheimer; and authorities were able to confirm that she mailed the ballot with the $100,000 stamp. Martha explained that she had no idea that the stamp was so valuable, and she asked for it back. She won’t get it back through because the stamps was:

While sitting in his backyard, Noah noticed a squirrel (whose nest was in a neighboring yard) slowly moving over his grass looking for nuts. Suddenly, a stranger, Ava, jumped over Noah’s fence, grabbed the squirrel, and ran away. If Noah sues Ava to recover the squirrel, who will win?

A client is receiving a continuous vasopressive epinephrine infusion. Which finding would warrant the nurse to make a change to this infusion? 

The nurse cares for a client with a pulmonary artery catheter (Swan-Ganz).  The client has a pulmonary artery diastolic pressure (PAWP) of 18 mm Hg↑. What does the nurse expect as a result of the value? 

A patient has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 101.1°F, and blood glucose of 246 mg/dL. From the following interventions ordered by the health care provider,  which would the nurse implement first?

The nurse educator provides a class on right atrial pressure monitoring devices (RAP/CVP) in the intensive care unit.  Which action by the nurses determines that teaching has been effective?

The patient arrives and you complete the following, brief assessment; T 98F P 120, rapid, thready RR 30 BP 80/60 SPO2 93%  Skin- cool, pale, moist, with dependent edema Pupils – reactive to light, 3mm-2mm Pulses – bilateral radial palpable +1, Right pedal palpable +1, Left pedal doppler +1   Which of the following assessment findings require immediate follow-up by the nurse?

The provider sees the patient and gives you the following orders: Administer tetanus toxoid immunization  Administer 350mL (1 unit) of O- pRBCs Initiate and titrate Norepinephrine drip per protocol Give 500mL 0.9% normal saline bolus Give Fentanyl IV push 25mcg q1 hour PRN   Which medication will you give first? Organize the medications in order from first priority to last priority. 

The nurse cares for a client diagnosed with pulmonary artery hypertension and a PAS of 35↑.  Which observation by the nurse indicates a positive response to therapy?

After a patient who has a severe infection receives 2 L of IV normal saline, the central venous pressure is 10 mm Hg, the blood pressure is 82/40 mm Hg and the map continues to be low. Which medication would the nurse anticipate being prescribed?