Assessment Findings
Your patient has vomited 57439 times, they have dry mucous membranes, low urine output, altered electrolytes, confusion and hypotension. The nurse recognizes these are signs of?
What is fluid volume deficit/ dehydration
Normal WBC
What is 4,00-11,000 mm3
Dependent Rubor
PAD
Hacking cough
Left sided
Your patient has a low WBC (1,500 mm3) secondary to chemo. You recognize that the patient is at most risk for?
Infection
A patient comes into the ER with confusion, fruity/acetone breath, tachycardia and signs of dehydration. What does the nurse suspect?
DKA
Normal Platelet Count
150,000/mm3-400,000/mm3
Brown discoloration around ulcers at ankle area
Venous insufficiency
JVD
Right Sided
Your patient has a platelet count of 23,000 mm3 and signs of significant bruising. Because of your patient's risk for bleeding your priority intervention is?
Safety
You do a full assessment on a new patient and identify large painless/swollen cervical lymph nodes and they report night sweats and fatigue, what do you immediately consider?
Hodgkin's Lymphoma
Normal Hemoglobin
13.8 to 17.2 grams per deciliter (g/dL)- male
12.1 to 15.1 g/dL
Use ted hose or elastic stockings for circulation
Venous
Abdominal edema/swelling/distension
Right-Sided
Your patient just had a central line placed on the unit, prior to using this for antibiotics the nurse should first?
Get the chest xray to verify placement
A patient arrives to the ER diaphoretic, nauseous, complaining of crushing chest pain, increased troponin-T and ST-elevation on their EKG. What do you think the patient is experiencing?
STEMI (ST elevation myocardial infarction)
What Hgb A1C is considered "normal"
5.7% or below
Cool Skin Temperature
Arterial
Crackles in lungs on auscultation
Left-Sided
A patient is showing signs of increased shortness of breath, while assessing the patient you can assist them to a __________ position for comfort and improvement of lung congestion
High-Fowlers position
Your patient's PaO2 continues to fall and decline despite high flow oxygenation and shows signs of hypoxemia. What do you suspect?
ARDS
What lab do we use to monitor and dose heparin?
PTT
Arterial
Polyuria
Right-Sided
Your patient is on coreg 12.5 mg, prior to administering you assess that their HR is 49. What should you do?
Hold the coreg and call the physician for further orders.