A nurse in the emergency department cares for a patient with hypotension, tachycardia, and an elevated lactate level. History includes recent treatment for an immune disorder. Which actions should the nurse take? Select all that apply. 

A middle-aged patient avoids eating out in restaurants because of the inability to hear conversations with dining partners. The nurse correlates this data to which auditory disorder?

The nurse correlates which potential risk factors to the development of several lacerations over the coccyx area?

The results of a patient’s arterial blood gas sample indicate an oxygen level of 72 mm Hg. Based on this result the nurse needs to closely assess which parameter when providing care to this patient? (norm range: PaO2 75-100)

During a health history interview, a patient tells the nurse, “I am nearsighted.” Which term does the nurse use in the patient’s health record to document this information?

An older adult patient asks why a wound is taking so long to heal. What is an inappropriate response by the nurse?

The nurse is caring for a patient who is receiving intravenous fluids postoperatively after cardiac surgery. The nurse correlates the patient’s risk for fluid volume excess to which cause?

Which diagnostic test is indicated for the patient demonstrating signs of a herpes simplex virus (HSV) infection?

A patient is admitted for evaluation of a bowel obstruction and has a nasogastric tube placed to low intermittent suction. The physician orders arterial blood gases, and the following results are reported: pH        7.37PaCO2        33 mm HgPaO2        94 mm HgHCO3        19 mm HgSaO2        98% What is the nurse’s interpretation of these results?

The nurse monitors for which clinical manifestation in the patient being treated for Ménière’s disease?