A nurse is caring for a recently admitted client with an epi…
A nurse is caring for a recently admitted client with an epidural hematoma. Past medical history includes hypertension, alcoholism, and coronary artery disease. The client is currently responsive to painful stimuli only and on mechanical ventilation. The most recent vital signs are Temperature: 99.0°F BP: 142/88 HR: 118 Respirations: 22 O2 Sat: 95%. In shift report, the nurse reported that the client was in a Sinus Rhythm with frequent PACs. The current cardiac rhythm is below. Which of the treatments should the nurse verify with the healthcare provider?
Read DetailsThe new patient was in a motor vehicle trauma and sustained…
The new patient was in a motor vehicle trauma and sustained a blunt force blow to the chest from the steering wheel. He arrives at the ER with complaints of left sided chest pain on inspiration. He has dyspnea, pallor and his pulse ox is 88%. The rest of his VS PR 130, RR 28, and BP 160/94. The triage nurse understands to prioritize which interventions for this client?
Read DetailsA client is brought to the emergency department from the sit…
A client is brought to the emergency department from the site of a chemical fire. The client suffered third-degree full-thickness burns. The new graduate registered nurse asks the preceptor what the expected burn area will involve. The nurse explains which expected findings for this type of burn?
Read DetailsA client is admitted to the ED after being involved in a mot…
A client is admitted to the ED after being involved in a motor vehicle accident. The client has multiple injuries. After establishing an airway and adequate ventilation, the ED team should prioritize what aspect of care for a secondary survey?
Read DetailsThe nurse recognizes that Multi Organ Dysfunction Syndrome (…
The nurse recognizes that Multi Organ Dysfunction Syndrome (MODS) can occur in any patient with severe traumatic injuries or overwhelming sepsis. What two factors are always responsible for the pathophysiology involved in MODS?
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