Which of the following vital signs demonstrate late findings of increased intracranial pressure (ICP)? 

A patient post-stroke has residual left facial droop, difficulty swallowing, left sided weakness, and a weak cough reflex. What complication is the patient at risk for?

A patient describes a sudden, severe headache as the “worst headache of my life.” What condition should the nurse suspect?

A patient is admitted with a large pulmonary embolism and their MAP is 45 mmHg. They are anxious and express feelings of impending doom. What condition does the nurse anticipate? 

A patient in anaphylactic shock is experiencing bronchospasm and hypotension. What is the priority intervention?

A patient reports chest pain at rest. The EKG shows ST depression. What is the best way to describe this patient’s chest pain?

A 58-year-old male with a history of coronary artery disease and prior myocardial infarction collapses in the hospital hallway. A rapid response is initiated, and the following data is noted: Assessment Findings: The patient is unresponsive. No palpable pulse. Cardiac monitor shows ventricular fibrillation (V-fib). Respirations: None. Oxygen Saturation: Not measurable. Which interventions should the nurse implement immediately to manage this patient’s condition? Select all that apply.

A patient with a history of hypertension, diabetes, and a recent heart attack returns to the hospital complaining of rapid weight gains of 5 lbs over 2 days. Upon assessment the patient has +3 pitting pedal edema and they have cardiomegaly on their chest x-ray.  What should the nurse recognize as the primary concern?

A patient with Type 2 Diabetes is prescribed metformin for glucose management. What statement by the nurse is most important for the nurse to include in patient education?

A patient with hypovolemic shock shows delayed capillary refill, cool clammy skin, and their MAP is 55 mmHg. What should the nurse prioritize?