The patient has been in the burn unit for treatment for 2 weeks, and is nearing discharge.The nurse is teaching the patient about skin care for newly healed grafts and donor sites. Which instructions should be included?

An EVAR is performed and the patient is stabilized. Three days later the patient is discharged home with a home health nurse scheduled to make visits. Which findings during a home health visit would be a priority assessment finding for the nurse?

The patient is started on IV antibiotics Ceftriaxone, Vancomycin and IV Dexamethasone.The patient asks why Dexamethasone is administered along with the first dose of antibiotics?

The patient’s clothes are removed, and 2 peripheral IV’s are established. The nurse assesses the patient’s burns and determines the patient has second and third degree burns to their anterior neck, entire right arm, anterior torso, and the entire right leg. The patient weighs 176 lbs. Using the Parkland Formula, the nurse calculates the TBSA at [BLANK-1] %, the total fluid volume required for the first 24 hours at [BLANK-2] mL, and will set the hourly rate on the infusion pump for [BLANK-3] mL/hr for the first 8 hours.

A 72 year-old patient, with a 40-pack-year smoking history and chronic hypertension, presents with a “gnawing” sensation in her mid-abdomen. During a routine physical, her PCP noted a prominent pulsation. The patient has a history of essential thrombocythemia (ET). Which assessment finding in the patient with a suspected AAA requires the most immediate intervention by the nurse?

The blood pressure is treated and decreases to 130/70, and dextrose 50% is administered for the hypoglycemia. The patient now meets the criteria for thrombolytic administration. TPA is administered however the client continues to have neurological deficits. A CTA is completed and shows a Large Vessel Occlusion (LVO) in the Left Middle Cerebral Artery (MCA). The client is taken to the cath lab for a mechanical thrombectomy. Access is initiated through the right femoral artery and the clot is successfully removed. Following a successful thrombectomy, the patient is moved to the Neuro-ICU. What is the priority nursing assessment for the first 2 hours?

The CT reveals a Large Vessel Occlusion (LVO) in the Left Middle Cerebral Artery (MCA). Labs are completed and reveal an INR level of 1.1. The medical team considers Alteplase (tPA). Which of the following findings would be a relative contraindication or require caution to the administration of tPA? (Select all that apply)

An external ventricular drain (EVD) is placed to evacuate the blood. Over two days the patient remains stable. The current treatment order is to remove the drain and plan for a transition to a step-down unit. The patient has the EVD removed and is transferred to the step-down unit. She continues to have some residual cognitive deficits but is ambulatory with a walker.Before discharge, the nurse teaches the family about actions that can increase intracranial pressure. Which of the following explanations should the nurse provide as to why the patient should avoid the Valsalva maneuver?

 A 36-year-old male brought to the Emergency Department by EMS following a motor vehicle accident. He was an unrestrained\ passenger in a  right side-impact collision. Upon arrival, he is alert but distressed, complaining of excruciating pain to his right chest and “not being able to catch a full breath.” The nurse exposes the patient’s chest during assessment, and notices a section of the right lateral chest wall that appears to move inward during inspiration and outward during expiration, and his breath sounds are significantly diminished on the right side. The physician notes that while the flail segment is currently stable, the primary concern for the patient isn’t just the broken bones, but other underlying injuries such as a [BLANK-1].

A patient arrives with a GCS of 10 (E3, V3, M4), blood pressure is 210/120 mmHg, and the right pupil is slightly sluggish. A non-contrast Head CT is performed immediately.The CT scan confirms an Intracerebral Hemorrhage (ICH) in the basal ganglia. What is the immediate priority for blood pressure management in this patient?