The patient presents to the emergency room complaining that his heart is racing and he feels dizzy. His heart rate is 220 bpm, his blood pressure is 80/40 mmHg, and his capillary refill is 5 seconds. He is diaphoretic and is becoming increasingly lethargic. The nurse anticipates which order first?

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Additional Reduction of Risk Potential Questions

The 82-year-old patient from the long-term care facility is brought to the emergency department with wet-sounding cough and increased work of breathing. Vital signs are normal with the exception of tachypnea and an oxygen saturation of 91% on room air. Upon auscultation, the nurse notes diminished breath sounds over the right upper lobe. Chest radiograph indicates consolidation in the right upper lobe of the lung. The nurse prepares the patient for which test?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 7

At delivery, the neonate is noted to have diffuse purple lesions over the entire body and is taken to the neonatal intensive care unit for further assessment and management. The nurse notes the toes have turned black; pedal pulses are palpable. The nurse anticipates testing will reveal a deficiency in which substance?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 10

The nurse is providing education to the parents of a child who was admitted with abdominal pain, fatigue, and yellow-tinged skin and sclera that was determined to be due to hemolysis. The liver dysfunction has resolved and the child is ready to be discharged, but the cause of the child’s hemolysis is still unknown at this time. Out of an abundance of caution, the nurse instructs on the list of medications/food the child must not receive to prevent possible recurrence. Which items are included on the list? Select all that apply.

  • Question Type:   Multiple Choice - Select All
  • Difficulty: 10

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