A patient is admitted to the emergency department with burns…
A patient is admitted to the emergency department with burns to the anterior torso, anterior surface of both arms, and anterior surface of both legs. Using the Rule of Nines, what percentage of total body surface area (TBSA) is burned?
Read DetailsA 28-year-old male is brought to the Emergency Department af…
A 28-year-old male is brought to the Emergency Department after a motorcycle collision. The patient is conscious but appears confused and is complaining of severe abdominal pain. On initial assessment, the patient is speaking in full sentences, but his voice sounds hoarse, respiratory rate is 32 breaths/min, with decreased breath sounds on the left side, HR 120 bpm, blood pressure is 90/60 mmHg, and there is visible abdominal distension. Which of the following actions should the nurse prioritize during the primary survey?
Read DetailsA patient is admitted with blunt abdominal trauma after a mo…
A patient is admitted with blunt abdominal trauma after a motor vehicle collision. The nurse is concerned about the possibility of internal bleeding. Which finding is most indicative of internal bleeding and requires immediate intervention?
Read DetailsA nurse is managing care for a patient with third-degree bur…
A nurse is managing care for a patient with third-degree burns over 35% of their total body surface area (TBSA), admitted 6 hours ago. The nurse notes the following assessment findings: blood pressure 88/54 mmHg, heart rate 130 bpm, urine output 15 mL/hr, and serum potassium level of 6.0 mEq/L. Which intervention should the nurse implement first?
Read DetailsA 28-year-old male is admitted to the ICU following a trauma…
A 28-year-old male is admitted to the ICU following a traumatic brain injury (TBI) from a motor vehicle accident. His Glasgow Coma Scale (GCS) score is 9, blood pressure 130/80 mmHg, heart rate 85 bpm, respiratory rate 18 breaths per minute, and oxygen saturation 94% on room air. The nurse notes that the patient’s pupils are equal, round, and reactive to light, but he is increasingly lethargic. A CT scan shows signs of cerebral edema, and the healthcare provider suspects increased intracranial pressure (ICP). Which of the following actions should the nurse take to best manage the patient’s increased intracranial pressure (ICP)?
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