74. A nurse is caring for a patient that is receiving bolus enteral feedings through a percutaneous endoscopic gastrostomy tube. Which action puts the patient at risk for complications?

17. A nurse is working the emergency department in a large metropolitan hospital. An emergency response team calls in that they are bringing  a 24-year-old female rescued from a housefire. She is one of four victims that were burned in the fire. Two of the victims were transferred to the nearest burn facility and the third victim expired. The patient is awake and alert with oxygen @ 2 liters/nasal canula. She is upset that no one has told her the status of the rest of her family. Vital signs: blood pressure-94/50 mm Hg, pulse-110 bpm, respirations- 34, oxygen saturation 94%. The patient’s weight is 57 kilograms and total body surface area (TBSA) of the burns is 65%. Number the following actions in the order they should be performed in the emergent phase of this burn patient. 1. Assess for other injuries. 2. Establish 2 large gauge intravenous lines. 3. Assess and maintain airway. 4. Calculate the Parkland formula for fluid resuscitation. 5. Calculate TBSA. 6. Medicate for pain. 7. Contact other family or support person. 8. Provide emotional support and reassurance.

74. A nurse is caring for a patient that is receiving bolus enteral feedings through a percutaneous endoscopic gastrostomy tube. Which action puts the patient at risk for complications?

82.  The Healthcare provider prescribed a patient with Amyotrophic Lateral Sclerosis (ALS) the medication Riluzole (Rilutek).   You know that this medication:

17. A nurse is working the emergency department in a large metropolitan hospital. An emergency response team calls in that they are bringing  a 24-year-old female rescued from a housefire. She is one of four victims that were burned in the fire. Two of the victims were transferred to the nearest burn facility and the third victim expired. The patient is awake and alert with oxygen @ 2 liters/nasal canula. She is upset that no one has told her the status of the rest of her family. Vital signs: blood pressure-94/50 mm Hg, pulse-110 bpm, respirations- 34, oxygen saturation 94%. The patient’s weight is 57 kilograms and total body surface area (TBSA) of the burns is 65%. Number the following actions in the order they should be performed in the emergent phase of this burn patient. 1. Assess for other injuries. 2. Establish 2 large gauge intravenous lines. 3. Assess and maintain airway. 4. Calculate the Parkland formula for fluid resuscitation. 5. Calculate TBSA. 6. Medicate for pain. 7. Contact other family or support person. 8. Provide emotional support and reassurance.

59. The nurse is caring for a patient that is gravida 2 para 1 and 32 weeks pregnant. She suddenly develops the following rhythm with no pulse. Two of her co-workers arrive to see if she needs assistance. What is the priority intervention?  

14. A nurse caring for a patient admitted with a urinary tract infection has a repeat lactate level of 3 mmol/L.  Laboratory has collected the blood cultures and has received the urine for culture and sensitivity. The results of the blood cultures and urine C&S are pending. What does the nurse do next?

58. While instructing a patient with ascites on dietary modification, the nurse will discuss the patient’s need to restrict which electrolyte?            

57. A charge nurse is discussing the phases of community response to disaster with the nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?

31. Following a tornado, a nurse is determining which of the patients assigned to her care can be discharged to free up beds for injured patients. Which of the following patients should the nurse recommend for discharge?