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- An 18-year-old fermale patient presents to the Accident and Emergency department (ASE) with body weakness. She reports a 2-day history of vorniting and passage of watery stool several times. On assessment. the nurse noted poor skin turgor, dry skin and sunken eyeballs with the following vital signs: BP - 90/60 mmHg. BT - 37.4 °C, RR - 14 bpm. PR - 60 bpm. Examinations revealed that the client has Acute Gastroenteritis 1. Based on the assessment findings. identify the PRIORITY NURSING DIAGNOSIS.After receiving 2/L of normal saline, the central venous pressure (CVP) for a patient who has septic shock is 12 mmHg, but the blood pressure is still 82/40 mmHg. The nurse will anticipate an order for: 1. Norepinephrine (Levophed) 2. Furosemide (Lasix) 3. Sodium Nitroprusside (Nitropress) 4. Nitroglycerin (Nitrostat)A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?Blood pressure 105/64 mm HgHeart rate 98/ minUrine output of 280 mL within 8 hrUrine negative for ketonesPREVIOUSCONTINUE31\deg FSnowSearch
- When assessing a patient receiving a continuous opioid infu-sion, the nurse immediately notifies the physician when the patient has:a. A respiratory rate of 10/min with normal depthb. A sedation level of 4c. Mild confusiond. Reported constipationLiza Madrid a 35-year-old was admitted to the female medical ward due to persistent vomiting (4x) and severe abdominal pain since 4:00 in the morning. She was endorsed to the floor nurse by the ER nurse. She is on IV fluid of D5NSS 1L to run at 125 ml/hour, she is on NPO. Upon assessment of the staff nurse her Vital signs as follows BP 130/80, PR 87 bpm, RR 25 cpm, T 37.5 °C. she is weak and pale in appearance and with facial grimace and her hands are on her abdomen, and feeling nauseated. The doctor ordered for laboratory examination; CBC, blood chemistry, FBS, BUN, urinalysis, and stool examination. Plasil 10 mg IM was given in the ER at 5:00 AM and every 8 hours PRN for abdominal pain, Buscopan 20 mg IM was also administered at 5:10 AM and every 6 hours PRN for abdominal pain. VS to monitor every 4 hours and to monitor persistent of vomiting and abdominal pain. She is scheduled for abdominal ultrasound, the blood investigation results came, her CBC are with in normal range, as well…1) The nurse receives an order to administer enteral tube feedings to a client with dysphagia. The order states:Administer 1500 mLs of enteral feeding over 18 hours via infusion pump.What will the mLs per hour be? Round to the nearest whole number. 2) A nurse is caring for a client with a diabetic ulcer which is has a bacterial infection. Identify the lab values the nurse will review to monitor for infection
- A 40yo male presents to the emergency department with the chief complaint of shortness of breath (SOB). His past medical history (MHx) is remarkable for hypertension (HTN) and diabetes mellitus II (DMII). On examination, his oxygen saturation on room air is 87%, blood pressure 160/100 mmHg, and pulse rate is 93/min. His arterial blood gas on room air shows pH 7.44, PCO2 35 mmHg, PO2 55 mmHg. Assume that the RQ is 0.8. Given arterial pO2 and alveolar pO2, the following disease states are plausible... Group of answer choices Hypoxic hypoxia Ischemic/Stagnant hypoxia Histotoxic hypoxia Normal ventilation/perfusionA 40yo male presents to the emergency department with the chief complaint of shortness of breath (SOB). His past medical history (MHx) is remarkable for hypertension (HTN) and diabetes mellitus II (DMII). On examination, his oxygen saturation on room air is 87%, blood pressure 160/100 mmHg, and pulse rate is 93/min. His arterial blood gas on room air shows pH 7.44, PCO2 35 mmHg, PO2 55 mmHg. Determine the alveolar gas pressure. Assume that the RQ is 0.8. A. 52 B. 22 C. 107 D. 200A 40yo male presents to the emergency department with the chief complaint of shortness of breath (SOB). His past medical history (MHx) is remarkable for hypertension (HTN) and diabetes mellitus II (DMII). On examination, his oxygen saturation on room air is 87%, blood pressure 160/100 mmHg, and pulse rate is 93/min. His arterial blood gas on room air shows pH 7.44, PCO2 35 mmHg, PO2 55 mmHg. Assume that the RQ is 0.8. Based on your calculations, what should the arterial blood gas be?
- A client admitted for COPD exacerbation is prescribed dexamethasone PO daily for 5 days. Which question is most important for the nurse to ask before giving the first dose? Select one: Oa. "Have you had a fever in the past 72 hours?" Ob. "How would you rate your pain?" c. "Are you having trouble breathing?" d. "When was your last bowel movement?"Bradley Buchanan presents to the neighborhood nurse-run clinic with shortness of breath, a persistent cough with blood-tinged sputum, recent weight loss, and night sweats. On initial assessment, the client has a fever of 101.4°F and pain in his chest. His other vital signs are as follows: pulse 98 beats per minute; respirations 26 per minute; blood pressure 110/76 mm Hg; height 68 inches; and weight 140 pounds. Mr. Buchanan is 45 years old. He is employed as a dishwasher at a local restaurant and lives at the local shelter with his wife, who is 8 months pregnant, and his 13-year-old son. Mr. Buchanan is concerned that if he cannot go to work, he will lose the family’s only income. At this point, although Mr. Buchanan’s signs and symptoms and his purified protein derivative test results seem to indicate that he may have tuberculosis, the nurse must pursue further confirmation of the diagnosis. Questions for students: What would be the nurse’s next action? Should the nurse do any…All of the following are the most common ways that patients with HF present in a primary care setting except_____________? Fluid retention Sleep apnea Dyspnea Decrease exercise tolerance