The patient has just returned from interventional radiology following permanent pacemaker insertion and has this rhythm.  The nurse selects which teaching points for the family and patient?  Select all that apply.  

A 65 year old, 90 kg patient meets the criteria for sepsis. The nurse follows current sepsis treatment protocols and prepares to complete which interventions? Select all that apply. 

An older patient with a history of an abdominal aortic aneurysm (AAA) arrives at the emergency department (ED) with severe back pain and absent pedal pulses. Which action should the nurse take first?

An older patient with chronic atrial fibrillation develops sudden severe pain, pulselessness, pallor, and coolness in the right leg. The nurse should notify the health care provider and immediately complete which intervention?

For the patient with mild intermittent asthma who has infrequent acute episodes, the nurse teaches the client that which of the following is most effective for providing quick relief in acute episodes?

Which are correct about correctly using a spacer for a metered dose inhaler (MDI)?  Select all that apply

The nurse observes a patient with this rhythm and intervenes to correct the problem.  Identify the problem and the correct nursing action.  Select all that apply.   

0700: The nurse plans a visit to a client who was discharged from the hospital 1 week ago. The nurse reviews the discharge summary in the medical record and the Nurses’ Notes from the previous home visit done on the day after hospital discharge. Discharge Summary This 32-year-old client sustained a T6 spinal cord injury 3 months ago from a motor vehicle crash that caused paralysis of the lower body. The client was sideswiped by a truck, which caused the car to roll over 3 times and end up in a ditch off the roadway. The client was pinned in the car, and the front end and side of the car crushed the lower half of their body. The client was hospitalized for 3 months. During hospitalization, emergency treatment was administered, and once stabilized, the client was monitored for complications. The client received rehabilitative therapy including PT and OT, and home care services were initiated for discharge. The client is married, and the client’s spouse stays at home caring for their two children, ages 7 and 10. Prior to the injury, the client was a forklift driver at an industrial manufacturing company. The client has no previous medical history, does not take any medications, does not smoke, and drinks occasionally at social gatherings.  Nurses’ Notes One day post-discharge: Client alert and oriented. Sitting up in wheelchair. Using a transfer board, with spouse’s assistance, to get out of bed to the wheelchair. Reports sitting in the wheelchair all day. Fair appetite and is drinking fluids. Complains of tiredness and falling asleep in the wheelchair during the day. Reports sweating during the night, which wakes the client; once repositioning to the side, the sweating stops but has difficulty falling back to sleep. Has muscle spasms in the lower body. No headache. Reports self-catheterizes every 6 hours. Last bowel movement was on the day of hospital discharge. VS: T = 98.6°F (37.0°C); HR = 86 BPM; RR = 18 bpm; BP = 120/78 mm Hg. Today 1000: The nurse arrives at the client’s home and after introductions performs a focused assessment.  VS: T = 99.2°F (37.3°C); HR = 59 BPM; RR = 18 bpm; BP = 150/90 mm Hg. Alert and oriented. Poor appetite over the last few days and is nauseated. Has tiredness and continued sweating during the night. Muscle spasms in the lower body worsening and was incontinent once during the night. Feeling is getting the flu because of nausea, nasal stuffiness, and pounding headaches. States last bowel movement was 4 days ago.  Choose the assessment finding listed below that are expected (for condition),  abnormal finding (for condition), or not relevant (not important) for the patient’s plan care and for what he is experiencing at this time. Answers may be used more than once.        

In the figure below identify the structure #2. 1pt name the bone it belongs to.  1pt For example head of the femur. Head is the structure, femur is the bone.

In the figure below identify the  structures #  1, 3, 4, 6 .  4pts name the bone it belongs to.  1pt For example head of the femur. Head is the structure, femur is the bone.