Cardiovascular
Emergencies
Emergencies
A patient presents with a right ventricular infarction with hypotension. What should be administered to treat the hypotension?
normal saline boluses 1 to 2 L
Which of the following with confirm the diagnosis of a pulmonary embolism?
CT angiography
The nurse sees a bedbug on the personal linens of a child transported via ambulance to the ED. What is the nurse's action?
Wash the patient thoroughly and replace all linen and clothing with hospital provided materials.
The nurse is caring for a patient with suspected diverticulitis. What are some findings the nurse should anticipate?
fever, lower abdominal pain, anorexia, elevated WBC count
Classic signs of Bell's Palsy include?
Facial droop, dysphagia, dysarthria
A patient is in v-ifb and high quality compressions are in progress. what is the priority nursing intervention?
defibrillate with 200J
Which of the following lab values should a nurse expect to order for a patient receiving IV heparin therapy for a pulmonary embolism?
PT and PTT
Which is the most appropriate post-exposure rabies prophylaxis treatment for a patient not previously vaccinated?
human rabies immune globulin injected into the wound and rabies vaccines on days 0, 3, 7, and 14
A patient presents complaining of intermittent nausea and vomiting for the past month. She states she has pain in the abdomen that is relieved by eating. She began having diarrhea the day before. Medical history indicates she take naproxen daily. The nurse should assess for
Gastritis
A 2 year old child presents to ED with septal deviation and a visulalized foreign body in the right naris. Which nursing intervention is most appropriate?
Instructing the patient's patient to perform oral positive pressure
parent seals mouth over child's mouth and provides short sharp puff of air while occluding unaffected nostril
Concern for rupture. Immediate emergency treatment needed
A nurse notes crackles while assessing lung sounds in a child with pneumonia. Who would the nurse classify this respiratory disorder?
Lung tissue disorder
Which lab result confirms a diagnosis of carbon monoxide toxicity in a nonsmoking adult?
COHb 8%
carboxyhemaglobin
Patient with blunt-force abdominal injury due to a knife would. On inspection, a kitchen knife is found in the patient's upper right abdominal quadrant. The patient is placed on a non-rebreather, two large bore IVs are started and labs are drawn. No evisceration is noted. What should the nurse do next?
Stabilize the knife with bulky dressings
Epistaxis occurring from Kiesselbach's plexus is controlled by
high Fowler's position with continuous pressure to midline septum
nasal packing with hemostatic material
cauterization
During a cardiac assessment of a patient with pericarditis the nurse should expect to hear?
Pericardial friction rub
A patient presents to the ED after an MVA. He was driving without a seatbelt and was hit with the steering wheeling on the left side of his chest. He complains of severe chest pain and dyspnea. During assessment the nurse is unable to hear breath sounds on the left. The nurse should prepare to assist with
Immediate chest tube insertion
24 year old male presents with a rash for 1 month. rash is annular, with raised margins and centralized clearing. What infection does the nurse suspect?
Ringworm
The nurses is preparing a patient for surgery for an incarcerated hernia. What is an emergent finding during the nurses assessment?
Treatment for corneal abrasion includes
application of ophthalmic lubricating solution
application of topical anesthetics
wearing glasses instead of contact lenses
What is a common finding in patients with left sided heart failure?
Crackles and/or Dyspnea
pH 7.32 PaCo2 47 HCo3 24 PaO2 91
hypoventilation with hypoxia
Which neurological assessment finding commonly occurs in a patient struck by lightening?
keraunoparalysis
or paralysis resulting from vasoconstriction in the tissues surrounding entry and exit points.
A nursing home patient with an enterocutaneous fistula caused by an acute exacerbation for Crohn's disease presents to the ED. The nursing priority is to
preserve and protect the skin
Patient with know known allergies presents with orofacial edema, halitosis and complaint of tasting pus in the mouth would be prescribed?
penicillin V potassium