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Questions and Answers
Which component of the critical incident stress management process took place?
Which component of the critical incident stress management process took place?
An infant with a history of hydrocephalus presents with a bulging anterior fontanel, vomiting, poor feeding, and irritability. What condition do these clinical manifestations likely represent?
An infant with a history of hydrocephalus presents with a bulging anterior fontanel, vomiting, poor feeding, and irritability. What condition do these clinical manifestations likely represent?
What will be the priority diagnostic assessment for a 68-year-old woman presenting with fatigue, nausea, and a history of smoking?
What will be the priority diagnostic assessment for a 68-year-old woman presenting with fatigue, nausea, and a history of smoking?
What is considered prior to the transport of a multiple trauma patient by helicopter?
What is considered prior to the transport of a multiple trauma patient by helicopter?
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Which one of the following is a significant risk factor for a patient wanting to attempt suicide?
Which one of the following is a significant risk factor for a patient wanting to attempt suicide?
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What possible cause of pelvic pain is assessed for first in a 21-year-old female presenting to the ED?
What possible cause of pelvic pain is assessed for first in a 21-year-old female presenting to the ED?
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Which statement indicates the patient understands the discharge instructions after a laceration closed with wound glue?
Which statement indicates the patient understands the discharge instructions after a laceration closed with wound glue?
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Which of the following statements about the difference between diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome is true?
Which of the following statements about the difference between diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome is true?
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What is positive end-expiratory pressure with ventilation?
What is positive end-expiratory pressure with ventilation?
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A patient presents to the ED following an incident with an acid splash to the eye. What is the nurse's first priority?
A patient presents to the ED following an incident with an acid splash to the eye. What is the nurse's first priority?
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A 22-year-old patient presents with upper respiratory symptoms and nausea following chemotherapy. What is the nurse's priority?
A 22-year-old patient presents with upper respiratory symptoms and nausea following chemotherapy. What is the nurse's priority?
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What eye injury does the patient with the sensation of something in the eye most likely have?
What eye injury does the patient with the sensation of something in the eye most likely have?
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In compensated shock, what physiological response increases serum sodium?
In compensated shock, what physiological response increases serum sodium?
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What does the nurse's assessment of loss of peripheral vision and redness of the affected eye indicate?
What does the nurse's assessment of loss of peripheral vision and redness of the affected eye indicate?
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Which clinical presentation is most consistent with pancreatitis?
Which clinical presentation is most consistent with pancreatitis?
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What is the indication for activated charcoal administration?
What is the indication for activated charcoal administration?
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Which intervention is appropriate for acute lithium toxicity?
Which intervention is appropriate for acute lithium toxicity?
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Which segment of the neurological system determines the level of alertness in a patient with diffuse axonal injury?
Which segment of the neurological system determines the level of alertness in a patient with diffuse axonal injury?
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What is the first intervention appropriate for the nurse once a neonate has been delivered?
What is the first intervention appropriate for the nurse once a neonate has been delivered?
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Which response indicates understanding of discharge instructions for COPD patients?
Which response indicates understanding of discharge instructions for COPD patients?
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What procedure does the emergency nurse anticipate for a patient with poor chest rise during ventilation?
What procedure does the emergency nurse anticipate for a patient with poor chest rise during ventilation?
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A patient presents with disorientation and memory impairment. What psychosocial emergency might this indicate?
A patient presents with disorientation and memory impairment. What psychosocial emergency might this indicate?
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In patients with asthma, what is the severity classification for a peak expiratory flow of 48% of personal best?
In patients with asthma, what is the severity classification for a peak expiratory flow of 48% of personal best?
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Which phase of disaster preparedness relates to upgrading an antiquated electrical system?
Which phase of disaster preparedness relates to upgrading an antiquated electrical system?
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What symptoms does a patient experiencing transient ischemic attacks (TIAs) exhibit?
What symptoms does a patient experiencing transient ischemic attacks (TIAs) exhibit?
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A 37-year-old female presents with vaginal bleeding and cramping. What is the most likely cause?
A 37-year-old female presents with vaginal bleeding and cramping. What is the most likely cause?
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Wernicke-Korsakoff syndrome is characterized by which clinical manifestations?
Wernicke-Korsakoff syndrome is characterized by which clinical manifestations?
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What type of gastrointestinal disorder is indicated by stomach pain that is relieved with antacids?
What type of gastrointestinal disorder is indicated by stomach pain that is relieved with antacids?
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Which immunoglobulin is responsible for Type 1 allergic responses?
Which immunoglobulin is responsible for Type 1 allergic responses?
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Using a 5-level triage system, which acuity level is assigned to a patient with fever and a history of HIV?
Using a 5-level triage system, which acuity level is assigned to a patient with fever and a history of HIV?
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What type of shock is indicated by low blood pressure and decreased consciousness in an 84-year-old patient?
What type of shock is indicated by low blood pressure and decreased consciousness in an 84-year-old patient?
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What gastrointestinal emergency is indicated by abdominal pain and rigid abdomen in a vehicle crash victim?
What gastrointestinal emergency is indicated by abdominal pain and rigid abdomen in a vehicle crash victim?
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What condition is associated with a patient who has been defibrillated but remains unresponsive?
What condition is associated with a patient who has been defibrillated but remains unresponsive?
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What injury is indicated by a patient feeling pain in the heel after a jump?
What injury is indicated by a patient feeling pain in the heel after a jump?
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What injury is described by skin being peeled away, exposing underlying structures?
What injury is described by skin being peeled away, exposing underlying structures?
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What statement by a patient with asthma indicates understanding of discharge instructions?
What statement by a patient with asthma indicates understanding of discharge instructions?
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Which statement indicates understanding of side effects of phenazopyridine?
Which statement indicates understanding of side effects of phenazopyridine?
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What ocular emergency is associated with an irregular pupil after trauma to the eye?
What ocular emergency is associated with an irregular pupil after trauma to the eye?
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What is the highest priority intervention for a patient feeling guilty and sad with decreased appetite?
What is the highest priority intervention for a patient feeling guilty and sad with decreased appetite?
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What advanced directive allows a family member to sign a consent form for a sedated patient?
What advanced directive allows a family member to sign a consent form for a sedated patient?
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What pathophysiologic process does bruising and muffled heart tones indicate in a motor vehicle collision victim?
What pathophysiologic process does bruising and muffled heart tones indicate in a motor vehicle collision victim?
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What is the most common inherited bleeding disorder?
What is the most common inherited bleeding disorder?
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What complication is the most common risk for all puncture wounds?
What complication is the most common risk for all puncture wounds?
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In a patient with vaginal bleeding and open cervical os, what type of spontaneous abortion likely occurred?
In a patient with vaginal bleeding and open cervical os, what type of spontaneous abortion likely occurred?
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Procalcitonin blood test is ordered for what condition?
Procalcitonin blood test is ordered for what condition?
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What is the highest priority for a patient with sore throat, fever, and swollen lymph nodes?
What is the highest priority for a patient with sore throat, fever, and swollen lymph nodes?
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Which gastrointestinal disorder is a female patient at risk for with right upper quadrant pain and bloating?
Which gastrointestinal disorder is a female patient at risk for with right upper quadrant pain and bloating?
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What does rest relieving chest pain indicate?
What does rest relieving chest pain indicate?
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What type of gastrointestinal disorder is indicated by severe epigastric pain and retching after alcohol abuse?
What type of gastrointestinal disorder is indicated by severe epigastric pain and retching after alcohol abuse?
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What stage pressure ulcer includes partial thickness skin loss?
What stage pressure ulcer includes partial thickness skin loss?
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What component of cardiac output does the Frank-Starling law apply to?
What component of cardiac output does the Frank-Starling law apply to?
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What is an early sign of increasing intracranial pressure in a head injury patient?
What is an early sign of increasing intracranial pressure in a head injury patient?
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What medication should be administered next for a patient who is unresponsive with involuntary movements despite midazolam?
What medication should be administered next for a patient who is unresponsive with involuntary movements despite midazolam?
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What statement indicates understanding of methotrexate administration for a stable ectopic pregnancy?
What statement indicates understanding of methotrexate administration for a stable ectopic pregnancy?
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What discharge instruction is included for a patient with Bell's palsy?
What discharge instruction is included for a patient with Bell's palsy?
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What assessment finding might indicate meningeal irritation?
What assessment finding might indicate meningeal irritation?
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What should be included in a critical incident process after a mass casualty incident?
What should be included in a critical incident process after a mass casualty incident?
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Which of the following statements made by a patient would lead the nurse to conclude that the patient understands risk factors for pulmonary embolism?
Which of the following statements made by a patient would lead the nurse to conclude that the patient understands risk factors for pulmonary embolism?
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Which statement made by a patient indicates an understanding of discharge instructions for pelvic inflammatory disease?
Which statement made by a patient indicates an understanding of discharge instructions for pelvic inflammatory disease?
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Based on the assessment, which injury does the nurse suspect in a patient with severe left upper quadrant pain after a bicycle collision?
Based on the assessment, which injury does the nurse suspect in a patient with severe left upper quadrant pain after a bicycle collision?
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What does the nurse suspect in a patient with chest pain and an abnormal Q wave on the ECG?
What does the nurse suspect in a patient with chest pain and an abnormal Q wave on the ECG?
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What immediate action will the nurse expect to promote safety for a patient with increased aggression and homicidal threats?
What immediate action will the nurse expect to promote safety for a patient with increased aggression and homicidal threats?
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Which diagnostic testing will the nurse expect as the highest priority for a patient with shortness of breath and a recent MVC?
Which diagnostic testing will the nurse expect as the highest priority for a patient with shortness of breath and a recent MVC?
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What is the highest priority intervention for a family presenting with fever, muscle pain, and bruising after traveling to Sierra Leone?
What is the highest priority intervention for a family presenting with fever, muscle pain, and bruising after traveling to Sierra Leone?
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Which scenario is most consistent with a patient presenting with moon face, buffalo hump, and hirsutism?
Which scenario is most consistent with a patient presenting with moon face, buffalo hump, and hirsutism?
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What condition would be suspected in a patient with vital signs showing labored breathing, cyanosis, and absent breath sounds on the right?
What condition would be suspected in a patient with vital signs showing labored breathing, cyanosis, and absent breath sounds on the right?
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What is the most common cause of cardiogenic shock?
What is the most common cause of cardiogenic shock?
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The disease most commonly associated with the catarrhal, paroxysmal and convalescent stages is best treated with which classification of medications?
The disease most commonly associated with the catarrhal, paroxysmal and convalescent stages is best treated with which classification of medications?
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Which anxiety disorder is a patient exhibiting with dizziness, fear of dying, and hot flashes?
Which anxiety disorder is a patient exhibiting with dizziness, fear of dying, and hot flashes?
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What type of headache is experienced by a patient with a reddened right eye and facial flushing?
What type of headache is experienced by a patient with a reddened right eye and facial flushing?
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What is the most responsible task performed by an emergency nurse to ensure the chain of custody is followed?
What is the most responsible task performed by an emergency nurse to ensure the chain of custody is followed?
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Which orthopedic condition is the result of elevated uric acid levels?
Which orthopedic condition is the result of elevated uric acid levels?
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What would the nurse expect to take place for a patient exhibiting hallucinations and delusions?
What would the nurse expect to take place for a patient exhibiting hallucinations and delusions?
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What intervention will the nurse perform for a patient preparing for surgery for valvular repair due to endocarditis?
What intervention will the nurse perform for a patient preparing for surgery for valvular repair due to endocarditis?
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Which neurological condition is likely associated with unsteady gait, weakness, and vision changes?
Which neurological condition is likely associated with unsteady gait, weakness, and vision changes?
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What is the risk for a patient who has experienced a severe electrical injury?
What is the risk for a patient who has experienced a severe electrical injury?
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Which heart block is associated with a lengthening PR interval until a QRS complex is dropped?
Which heart block is associated with a lengthening PR interval until a QRS complex is dropped?
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Which of the following interventions would be appropriate for a patient diagnosed with renal calculi?
Which of the following interventions would be appropriate for a patient diagnosed with renal calculi?
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What assessment can the nurse do to further determine the cause of a patient's acute symptoms after taking nitroglycerin?
What assessment can the nurse do to further determine the cause of a patient's acute symptoms after taking nitroglycerin?
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Which medication will the nurse expect to give to a patient diagnosed with diabetes insipidus?
Which medication will the nurse expect to give to a patient diagnosed with diabetes insipidus?
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What condition is described by a 56-year-old patient with fatigue, bloating, pitting edema, and prominent neck veins?
What condition is described by a 56-year-old patient with fatigue, bloating, pitting edema, and prominent neck veins?
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What type of research study is an emergency nurse conducting when interviewing staff nurses about emotional states and patient outcomes?
What type of research study is an emergency nurse conducting when interviewing staff nurses about emotional states and patient outcomes?
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Which complication is associated with orbital wall fractures?
Which complication is associated with orbital wall fractures?
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What intervention is used to manage seasonal affective disorder?
What intervention is used to manage seasonal affective disorder?
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Which of the following would be indicative of Alzheimer's disease?
Which of the following would be indicative of Alzheimer's disease?
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What is the best way to promote a successful family presence practice?
What is the best way to promote a successful family presence practice?
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What will the nurse anticipate as the next intervention for a patient in ventricular tachycardia with no pulse?
What will the nurse anticipate as the next intervention for a patient in ventricular tachycardia with no pulse?
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What is a late sign of intussusception?
What is a late sign of intussusception?
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What respiratory problem should the nurse anticipate in a patient with a history of heart failure and recent pneumonia treatment who presents with respiratory symptoms?
What respiratory problem should the nurse anticipate in a patient with a history of heart failure and recent pneumonia treatment who presents with respiratory symptoms?
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Which assessment indicates exclusion criteria for receiving tissue plasminogen activator (tPA) in a patient with a stroke?
Which assessment indicates exclusion criteria for receiving tissue plasminogen activator (tPA) in a patient with a stroke?
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What genitourinary emergency is suggested by a 16-year-old patient experiencing severe pain in the left groin after playing football in cold weather?
What genitourinary emergency is suggested by a 16-year-old patient experiencing severe pain in the left groin after playing football in cold weather?
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Which disorder does the nurse suspect in a 3-year-old boy with bruising, minor respiratory illness history, and laboratory findings of low platelet count?
Which disorder does the nurse suspect in a 3-year-old boy with bruising, minor respiratory illness history, and laboratory findings of low platelet count?
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What type of spinal cord injury is suspected in a patient with loss of movement on one side and sensation on the opposite side after a knife wound?
What type of spinal cord injury is suspected in a patient with loss of movement on one side and sensation on the opposite side after a knife wound?
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This activity, where a community hospital emergency department uses key performance indicators (KPI) to identify improvements, is a component of what?
This activity, where a community hospital emergency department uses key performance indicators (KPI) to identify improvements, is a component of what?
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Which assessment finding will be most concerning in a patient with chronic bronchitis and shortness of breath?
Which assessment finding will be most concerning in a patient with chronic bronchitis and shortness of breath?
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What condition is suspected in a patient presenting with flu-like symptoms after being bitten by a bat?
What condition is suspected in a patient presenting with flu-like symptoms after being bitten by a bat?
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In a 74-year-old patient who fell and was on the floor for a prolonged period, what clinical manifestation should be assessed for?
In a 74-year-old patient who fell and was on the floor for a prolonged period, what clinical manifestation should be assessed for?
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Which condition is described by a patient with ear pain, nausea, vomiting, and tinnitus receiving prescriptions for antibiotics, corticosteroids, and antiemetics?
Which condition is described by a patient with ear pain, nausea, vomiting, and tinnitus receiving prescriptions for antibiotics, corticosteroids, and antiemetics?
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How will the nurse instruct a patient to apply permethrin cream for a scaly, itchy rash?
How will the nurse instruct a patient to apply permethrin cream for a scaly, itchy rash?
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What abnormal assessment finding will the nurse expect in a patient with severe chest pain after using cocaine?
What abnormal assessment finding will the nurse expect in a patient with severe chest pain after using cocaine?
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What is the nurse's priority intervention for a 3-week-old infant with vomiting after eating and laboratory results revealing hypokalemia?
What is the nurse's priority intervention for a 3-week-old infant with vomiting after eating and laboratory results revealing hypokalemia?
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Which intervention is used to manage acute respiratory distress syndrome (ARDS) to help maintain open alveoli?
Which intervention is used to manage acute respiratory distress syndrome (ARDS) to help maintain open alveoli?
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Study Notes
Pulmonary Embolism Risk Factors
- Understanding statement: Walking to stretch legs during long flights reduces risk.
Pelvic Inflammatory Disease Education
- Key insight: Increased risk for ectopic pregnancy after infection.
Abdominal Trauma Assessment
- Suspicion of injury: Ruptured diaphragm suspected based on symptoms following a bicycle collision.
Electrocardiogram Findings
- Interpretation: Abnormal Q wave indicates an old infarction.
Behavioral Emergencies
- Safety measure: Placing aggressive patients in a seclusion room to promote safety.
Postoperative Deterioration Concerns
- Priority diagnostic test: Computed tomographic pulmonary angiography is critical following recent leg fractures.
Infection Control in Emergency Situations
- Immediate action: Notifying infection prevention is essential for suspected Ebola cases.
Endocrine and Metabolic Disorders
- Clinical symptoms: Long-term prednisone use linked to Cushing's syndrome features.
Respiratory Distress Indicators
- Condition suspected: Tension pneumothorax indicated by absent breath sounds and jugular vein distension.
Cardiogenic Shock Causes
- Most common cause: Myocardial infarction listed as a leading cause of cardiogenic shock.
Infectious Disease Treatments
- Best treatment: Macrolide antibiotics recommended for specific bacterial infections with distinct disease stages.
Anxiety Disorder Manifestations
- Condition identified: Panic attack evidenced by acute fear and physiological symptoms.
Headache Classification
- Type identification: Cluster headaches characterized by severe pain and reddened eye.
Chain of Custody in Evidence Handling
- Best practice: Limiting access to evidence ensures the integrity of the chain of custody.
Gout Presentation
- Associated condition: Gouty arthritis directly linked to elevated uric acid levels.
Psychological Assessment for Acute Patients
- Necessary action: Medical clearance required for patients displaying severe hallucinations and delusions.
Surgical Preparation for Endocarditis
- Preoperative care: Administering antibiotics is critical prior to valvular repair surgery.
Neurological Disorder Symptoms
- Condition correlation: Multiple sclerosis connected to unsteady gait and vision changes.
Risks Following Electrical Injury
- Chief concern: Arrhythmias are a significant risk after severe electrical injuries.
ECG Findings and Heart Block Identification
- Characteristic of block: Second degree type I heart block involves progressively lengthening PR intervals until a QRS is dropped.
Renal Calculi Management
- Recommended intervention: Administering antiemetics for symptom relief in renal calculi cases.
Cardiac Assessment
- Assessment focus: Blood pressure on the opposite arm can provide further diagnostic clarity.
Diabetes Insipidus Treatment
- Expected medication: Vasopressin indicated for management of diabetes insipidus.
Heart Failure Symptoms
- Clinical finding: Right-sided heart failure evidenced by peripheral edema and prominent neck veins.
Quality Improvement in Healthcare
- Objective: Key performance indicators to identify opportunities that enhance satisfaction.
Respiratory Concerns in Chronic Conditions
- Concerning finding in assessment: A respiratory rate of 10 breaths/min in a patient with chronic bronchitis.
Rabies Exposure Treatment
- Suspected illness: Rabies consideration following animal bite with flu-like symptoms.
Post-Fall Assessment in Elderly Patients
- Physical finding: Dark brown urine may suggest significant internal injury after prolonged exposure on the floor.
Ear Pain Related Conditions
- Diagnosed condition: Labyrinthitis characterized by ear pain and associated systemic symptoms.
Skin Disorders Treatment
- Application guideline: Permethrin cream applied from head-to-toe with a follow-up application after one week.
Cocaine Use Complications
- Expected vital sign finding: Elevated blood pressure in a patient who used cocaine earlier.
Pediatric Dehydration Management
- Priority intervention: Isotonic crystalloid fluid bolus for infants showing signs of dehydration.
ARDS Management
- Critical intervention: Implementing positive end-expiratory pressure to maintain open alveoli.
Eye Injury Management
- Immediate priority: Eye irrigation necessary following acid splash exposure.
Protective Measures in Immunocompromised Patients
- Infection prevention: Protective isolation is essential for a patient post-chemotherapy.
Eye Injury Recognition
- Common condition: Corneal abrasion suggested by sensation of a foreign object in the eye.
Shock Physiology
- Physiological response: Renin-angiotensin-aldosterone system activation increases sodium during compensated shock.
Acute Glaucoma Symptoms
- Condition presentation: Acute angle glaucoma indicated by eye pain, nausea, and loss of peripheral vision.### Abdominal Pain and Conditions
- Pain with palpation in the right subcostal area during inspiration may indicate gallbladder issues or hepatobiliary disease.
- Diffuse cramping abdominal pain can be associated with gastrointestinal disorders such as irritable bowel syndrome or acute gastroenteritis.
- Epigastric pain radiating to the back suggests potential pancreatitis or duodenal ulcer disease.
- Dull and constant umbilical pain could relate to appendicitis or mesenteric ischemia.
Medication and Toxicity
- Activated charcoal is indicated for overdoses of medications such as Carbamazepine, which can cause toxicity.
- Hemodialysis is the preferred intervention for acute lithium toxicity, providing effective clearance of the drug.
Neurological Injuries
- The level of alertness in diffuse axonal injury is determined by the reticular activating system, crucial for consciousness and arousal.
Neonatal Care
- The first intervention for a delivered neonate is to thoroughly dry the infant, aiding in thermoregulation and stimulating breathing.
Respiratory Health
- Patients with chronic obstructive pulmonary disease (COPD) should be educated about the importance of pneumococcal vaccinations to prevent respiratory infections.
Burn Emergencies
- In patients with full-thickness (third-degree) burns, an escharotomy may be necessary to relieve pressure and improve ventilation.
Psychological Assessment
- Signs of delirium include disorientation and personality changes over a short period, distinguishing it from chronic conditions like dementia.
Asthma Severity
- An asthma exacerbation with peak expiratory flow measuring 48% of personal best is categorized as moderate, necessitating treatment adjustments.
Disaster Preparedness
- Mitigation involves proactively upgrading antiquated systems, as evidenced by addressing deficiencies in the electrical infrastructure of emergency services.
Stroke Assessment
- Symptoms of transient ischemic attacks include sudden weakness and speech difficulty that resolve quickly, requiring rapid evaluation to rule out strokes.
Gynecological Emergencies
- Uterine fibroids can cause heavy bleeding and cramping, while open cervical os suggests an inevitable abortion.
Nutritional Disorders
- Wernicke-Korsakoff syndrome is marked by ataxia and confusion, often related to long-term alcohol abuse.
Gastrointestinal Disorders
- Duodenal ulcers present with pain alleviated by antacids, while Mallory-Weiss syndrome arises from retching leading to esophageal tears.
Immunology
- IgE immunoglobulin is crucial for mediating Type 1 allergic responses.
Triage in Emergency Medicine
- Patients with potential septic shock exhibit vital signs indicating low blood pressure and altered heart rate, necessitating urgent intervention.
Trauma Management
- Velocities in trauma cases and their symptoms, such as extremity injuries, must be evaluated for underlying life-threatening conditions like pericardial tamponade.
Risk Factors for Suicide
- A history of past suicide attempts is among the most significant risk factors, requiring careful patient assessment and intervention.
Laceration Care
- For patients with laceration repairs using wound glue, it is important to monitor for signs of infection, like redness and drainage.
Diabetic Emergencies
- Distinguishing between diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome involves understanding their metabolic processes and patient demographics, with DKA commonly seen in Type 1 diabetes.
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Test your understanding of patient statements related to risk factors for pulmonary embolism with these flashcards. The quiz will help reinforce knowledge essential for nurses to care for patients effectively. Assess your grasp of important concepts related to this critical health condition.
