The nurse is supervising a nursing student in the emergency depar...

The nurse is supervising a nursing student in the emergency department. Which actions by the nursing student indicate effective learning? Select all that apply.

Select all that apply:

Documents and reports weak pedal pulses as 2+ bilaterally

Prepares insulin and D25W infusions for the patient with a potassium level of 1.8 mg/dL

Performs 4 quadrant blood pressures in the 2-week-old whose radial pulses are 4+ and dorsalis pedis pulses are 1+

Ensures there is potassium chloride in the fluids of the patient with peaked T waves and a prolonged PR interval on electrocardiogram

Counts the apical pulse of an 18-month-old for 60 seconds who has a pulse of 86 bpm with a normal sinus rhythm on cardiopulmonary monitoring

Category: Reduction of Risk Potential
Difficulty: 9

Topics: Cardiovascular Fluid and Electrolytes Growth & Development Patient Education Communication & Documentation Delegation, Prioritization and Leadership Development Health Care Quality Neonatal Care Pediatrics

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The patient who is hospitalized for a knee replacement develops sudden onset crushing chest pain, tachycardia, and tachypnea. On 12-lead electrocardiogram (EKG), ST-segment elevation is noted. Labs are drawn within 30 minutes of onset of chest pain. The nurse anticipates an elevation in which result to confirm diagnosis of acute myocardial infarction?

Question Type: Multiple Choice - Select One
Difficulty: 8

A nurse is reviewing the orders of a patient who presented to the emergency department with symptoms of a stroke and notes a toxicology screening has been ordered. Which is the most likely rationale for this test?

Question Type: Multiple Choice - Select One
Difficulty: 3

The anxious 5-year-old child is found to have tachypnea, stridor on inspiration, and a “barking” cough. The nurse suspects which condition?

Question Type: Multiple Choice - Select One
Difficulty: 6

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