A 5-year-old child is brought to the emergency department following a seizure.  The following tests were done immediately upon arrival.  Given the results, what is the most likely cause of the child’s seizure?  

An 32-year-old alcoholic, malnourished male with a traumatic brain injury is brought to the ED one hour after an automobile accident.  A hypertonic saline infusion is started to decrease intracranial pressure.  However, he develops spastic quadriplegia, pseudobulbar palsy, and coma from acute, noninflammatory demyelination centered within the basis pontis.  What is the most likely diagnosis?

A patient presents with coma and the following blood gases. What is the correct assessment of these results? 

Toddler children are playing in the same area.  Each child plays with blocks without any attempt to alter the others’ play.  What kind of play are they engaged in?

Part of the nurse’s anticipatory guidance includes a discussion of safety.  For a 4-month-old, it would be most pertinent to teach his mom what?

Given the following data, which of the following mechanisms of metabolic acidosis is most likely? 

A few hours after delivery the nurse notices that the mom is crying. When questioned the mom says, “My husband is so disappointed in me.  I really did not want another girl either.”  The nurse’s most therapeutic reply would be to say what?

What objective data should the nurse chart after assessing a patient?

A patient says to the nurse: “That night nurse really needs to go back to school  She gave me a shot in the wrong arm, she forgot my water pitcher, and she wouldn’t answer my call light!”  What would be a therapeutic response?

When charting, which statement would the nurse recognize as an objective assessment?