A 13-year-old patient presents to the emergency department in a disoriented state with tachycardia, tachypnea, hypotension, and hypothermia. Upon assessment, the nurse notes the patient’s breath smells like acetone, the mucous membranes are dry, and the patient has poor skin turgor. The nurse knows which test is the priority?
- NCLEX Practice
- Categories
- Reduction of Risk Potential
- View Question
- Category: Reduction of Risk Potential
- Difficulty: 8
Want help? View the answer with rationale.
Additional Reduction of Risk Potential Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 4
The patient with human immunodeficiency virus and a CD4 count of 158 has a purified protein derivative (PPD) skin test performed and is found to have a 7-mm induration with circumferential erythema. Which statement does the nurse make to the patient?
- Question Type: Multiple Choice - Select One
- Difficulty: 9
The nine-month-old infant appears to be in distress. For rapid assessment, which pulse does the nurse palpate?
- Question Type: Multiple Choice - Select One
- Difficulty: 3
0
