A patient has been receiving heparin for a deep vein thrombosis and has a platelet count of 50,000/µL (Normal Range= 150,000-400,00/µL). The nurse also assesses the presence of petechiae noted on the patient’s chest and back. What is the nurse’s priority action?

The nurse is evaluating a patient who was treated for increased ICP. Their previous GCS assessment findings were the following: incomprehensible sounds, no eye opening in response to pain or verbal stimuli, decorticate posturing. After reassessing the patient, which finding would indicate improvement related to motor function?

A patient with a spinal cord injury presents with bradycardia, hypotension, and warm, dry skin. Which type of shock is the patient most likely in? 

All of the following are manifestations of right sided heart failure except: 

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

A patient with a history of poorly controlled hypertension complains of a sudden, severe headache as the “worst headache of my life.” What condition should the nurse suspect?

A patient with coronary artery disease reports chest pain at rest. Their 12-lead EKG shows ST depression. What is the best way to describe this patient’s chest pain?

The nurse observes a rhythm strip showing wide, bizarre QRS complexes, and no identifiable P waves. What is the nurse’s best next action?

The nurse is caring for a patient who was admitted with a STEMI status post PCI 5 days ago. The nurse would anticipate all of the following medication orders except: 

The nurse is obtaining a history in the emergency department from a patient presenting with symptoms of an ischemic stroke that began 2 hours ago. Before administering alteplase, the nurse must screen for contraindications. Which of the following is not a contraindication to alteplase therapy?