Physiological Adaptation

The hospitalized patient is found to be in ventricular tachycardia on electrocardiogram. Upon assessment, no pulse or respiratory effort are noted. Which medication is administered first?

Which drug, if ordered for the patient with second-degree heart block, does the nurse hold and contact the provider?

The nurse is caring for the patient in cardiac arrest. Which rhythm, if found on electrocardiogram, does the nurse most anticipate to be treated with unsynchronized defibrillation?

The unresponsive patient in the emergency department is found on electrocardiogram to have pulseless electrical activity (PEA). The nurse most suspects which two causes of the patient's condition?

The patient who presented to the emergency department complaining of chest pain is found to have a heart rate of 32 beats per minute and a blood pressure of 90/50 mm Hg. The nurse prepares to administer which medication?

The patient's heart rate is 28 bpm and the systolic blood pressure is 80 mmHg. One dose of atropine 0.5 mg IV push has been administered with no response. The patient is unstable, but conscious. Which next intervention is appropriate? 

The patient with a heart rate of 50 bpm is found to have strong pulses and no other symptoms. Which action is most appropriate?

The patient with narrow QRS complex supraventricular tachycardia is found to be hemodynamically stable. Which initial intervention is appropriate? 

The nurse is notified the patient's heart monitor shows ventricular fibrillation. Initial assessment reveals strong peripheral pulses and even, unlabored respirations with an oxygen saturation of 98%. Which action does the nurse take first?

The unresponsive patient was pulled from a frozen lake. A regular heart rhythm is noted on the monitor with a rate of 28 bpm. Upon assessment, there is no palpable pulse. The first responders report which rhythm to the receiving hospital?

The unresponsive patient is found to have the following heart rhythm on electrocardiogram (ECG).  Which initial intervention is appropriate?

The patient is found to have the following rhythm on electrocardiogram (ECG): Pulses are noted on assessment. The nurse documents which rhythm in the patient's chart?

The patient is found to have the following rhythm on electrocardiogram (ECG): The nurse documents which rhythm in the patient's chart?

Which is the correct ratio of crystalloid fluid administration to estimated blood loss to resuscitate the patient in hemorrhagic shock?

Which statement is true regarding the provision of cardiopulmonary resuscitation (CPR) in the community with an automated external defibrillator (AED)?

While reviewing the patient’s chart in preparation for admission to the intensive care unit, the nurse learns the patient is exhibiting ataxic breathing. Which pattern does the nurse expect to observe in the patient?

The child had a cast applied the previous day for a broken tibia. The mother returns the child to the provider to report swelling and significant pain. Upon assessment, the nurse notes pale, cool toes with a capillary refill time of 6 seconds. The child denies feeling the nurse's assessment but screams in pain when the leg is moved. The nurse anticipates which treatment for this patient? 

The patient suddenly begins slurring. The nurse assesses the patient for additional symptoms of which condition?

An adult weighing 70 kg just arrived to the emergency department (ED) with burns on the front of both legs and the genital region. Using the Parkland formula, how much fluid is to be administered to the patient over the next 8 hours?

An adult weighing 70 kg is in the burn unit with burns on the front of both legs and the genital region. His fluid requirements were correctly determined using the Parkland formula. He received 2,660 mL during the first 8 hours after his injury. How much fluid should he receive in the next 16 hours?

The nurse anticipates which laboratory results in the patient with end stage liver disease? Select all that apply.

The patient's serum calcium quickly changed to 14 mg/dL (3.5 mmol/L). The nurse anticipates observing which symptoms? Select all that apply.

Which patient with dyspnea is seen first in the emergency department?

The nurse receives report on the patient with amyotrophic lateral sclerosis (ALS) and anticipates to observe which symptoms in the patient? Select all that apply.

Which symptom does the nurse recognize as the first sign of amyotrophic lateral sclerosis?

The nurse is evaluating the patient with amyotrophic lateral sclerosis. Which symptom is most concerning?

The nurse is providing education to the patient with Bell’s palsy. Which instruction does the nurse give the patient to promote safety?

Which statement by the patient indicates a need for further teaching about the new diagnosis of Bell’s palsy?

The nurse suspects Guillain-Barré syndrome in the patient with weakness that started in which location?

The nurse is providing education to the patient who presented with a cluster of blisters spreading from her upper lip to beneath her nose on one side of her face. The patient states her mother has similar symptoms sporadically, but this is her first experience with the blisters. Which statements by the patient indicate the teaching was effective? Select all that apply.

Which is the inclusive diagnostic term for benign skin lesions caused by the human papillomavirus (HPV) that infect mucous membranes and the stratified epithelium of the skin?

The patient is admitted to the intensive care unit after starting antibiotics and experiencing a severe drug reaction and erythema multiforme syndrome. The patient has severe mucocutaneous bullae over 42% of the body surface area. The nurse anticipates which diagnosis for this patient?

The patient developed toxic epidermal necrolysis after receiving phenytoin for seizures. The nurse prioritizes nursing interventions to address which life-threatening comorbidities? Select all that apply.

The patient presents to the primary care clinic complaining of painful itching between his toes. Examination reveals scaling skin, areas of maceration between the toes, and some fissure formation. The nurse plans care to provide education about which diagnosis?

The patient has undergone an extracapsular cataract extraction. Which discharge instructions does the nurse give the patient? Select all that apply.

The child is brought to the emergency department for lacerations and abrasions to the knees, palms, and face after falling at recess. The parent informs the nurse, “He always bleeds so much with any injury." The nurse suspects which condition?

Mechanical ventilation increases the risk for pneumothorax by which mechanism?

Rank these conditions from most (1) to least (4) life-threatening.

Which respiratory assessment in the patient who has an oxygen saturation of 96% on room air is most concerning?

Which fundal height is documented as normal for the woman who is 30 weeks pregnant?

The nurse is providing preoperative teaching to the patient scheduled to undergo an iridectomy. Which statement indicates a need for further teaching?

The patient is scheduled to undergo a trabeculectomy for the treatment of refractory glaucoma. The nurse is providing preoperative teaching to the patient. Which statement indicates a need for further teaching?

The patient has undergone a right myringotomy. Which nursing intervention is appropriate?

Following an infection with rhinovirus, the patient reports initial improvement followed by significant congestion and upper teeth pain. The nurse anticipates which diagnosis?

The patient has been diagnosed with ethmoid sinusitis. The nurse anticipates the patient to complain of tenderness upon percussion of which area?

Which radiologic finding indicates frontal sinusitis?

The patient presents to the emergency department (ED) with green sputum and severe pain over the top teeth, cheeks, and forehead following a respiratory viral infection. The provider requests the nurse use the transilluminator to assess for sinusitis. Which assessment indicates maxillary sinusitis?

The nurse assesses the patient with acute ethmoid sinusitis for which symptom that indicates the patient is experiencing a severe complication of the condition?

The nurse palpates bilateral carotid pulses and notes the pulse begins at 100 and drops to 48 beats per minute. The patient complains of dizziness. Which nursing action is most appropriate?

Which cardiac enzyme is indicated by the dotted line ( ) on the chart?