CASE STUDY Question #4: The nurse is caring for the client with peptic ulcer disease (PUD) who presented to the emergency department. After the bedside endoscopy, the nurse should place the highest priority on which assessment as part of the client’s care plan?

The female client is admitted to the hospital with a diagnosis of acute pancreatitis after 4 days of vomiting. Which of the following assessment findings should the nurse prioritize?

CASE STUDY Question #1: The nurse is caring for the client with peptic ulcer disease (PUD) who presented to the emergency department. The client presents with complaints of nausea and vomiting. As the nurse is taking a health history, the client vomits a copious amount of bright red blood. Which intervention is the priority when caring for this client?

CASE STUDY Question #5: The nurse is caring for the client with peptic ulcer disease (PUD) who presented to the emergency department. The bleeding was resolved and the client was transferred to the medical-surgical floor 3 days ago. The nurse rounding today on the client notes the following: The client begins to complain of severe abdominal pain (9 out of 10) and guarding of the abdomen. The abdomen is board-like with absent bowel sounds in all four quadrants, BP 90/55, HR 124 beats per minute, RR 28 breaths per minute. The nurse immediately notifies the provider and would anticipate which priority order?

The provider writes an order for Heparin to be started at the initial rate of 16units/kg/hour on the client who weighs 228 pounds, then follow the Heparin nomogram cardiac range (Above) for dosing based upon PTT results. The Pharmacy sends a bag of Heparin that read 25,000 units/500mL. What will the nurse set the starting IV rate at on the pump? (Give answer to the nearest whole number and do not round) _______ The nurse starts the medication and then draws a PTT level 6 hours later. The PTT= 75 seconds. What will the nurse now set the IV pump rate at? (Give answer to the whole number and do not round) _______ The nurse draws a PTT level 6 hours later and the results is PTT=149 seconds. What should the nurse do next? _______

CASE STUDY Question #3: The nurse is caring for the client with peptic ulcer disease (PUD) who presented to the emergency department. The nurse is to assist the provider in performing bedside endoscopy on this client. Which of the following actions would the nurse consider the highest priority in regard to the procedure?

The provider writes a standing order to administer phenylephrine on the client if their mean arterial pressure (MAP) falls below 70. The client has the following vital signs: B/P 90/48, Pulse 102 beats/min, and RR 20 breaths/min. Their weight is 179 pounds. What would the nurse calculate the MAP to be? (Give answer to the whole number) _______ The provider’s order reads to start phenylephrine with the following MAP guidelines: MAP

The 5 year old is brought into the emergency department by their mother with bilateral lower extremity deep partial thickness burns that occurred approximately 15 minutes ago with hot water, and upon assessment the child is screaming and points to the circled face below. The provider calculates the burn surface area at 30%. Which of the following is the priority nursing intervention for this client?

The nurse uses the palms of the hands when handling a wet cast for which reason?

A nurse is caring for a client who is scheduled for a barium study of the upper gastrointestinal system (UGI series) for suspected peptic ulcer disease. Which is the priority nursing intervention?