Which client will the emergency nurse triage as the priority?

The doctor writes an order for a liquid oral medication. The order says to administer 15 mg by mouth every 4 hours as needed for sore throat. Pharmacy dispenses you with 30 mg/3ml. How many ml will you administer per dose?

The nurse is caring for a female client who has been seen at the ED multiple times recently for sexually transmitted infections and various physical concerns. When the client's boyfriend goes for coffee, what is the priority nursing action?

A client with COPD who smokes 1 PPD presents for a routine appointment. Which client statement causes the nurse to suspect an increase in dyspnea?

The nurse is assessing a client with a chest tube following a pneumonectomy. Which assessment finding requires nursing intervention?

The nurse is caring for four clients. Which client does the nurse identify at greatest risk of developing acute respiratory distress syndrome (ARDS)?

A client in acute respiratory failure is classified as having ventilatory failure. The nurse understands that which finding is a potential extrapulmonary cause of ventilatory failure?

The nurse is caring for a client who was camping overnight. The client is vomiting and has severe pain in the left foot Blood pressure is 90/60, and the left lower leg is swollen and red. For which condition will the nurse assess as the priority?

A client in septic shock has received 30 mL/kg of crystalloid fluid resuscitation but remains hypotensive with a MAP of 58 mm Hg. The provider orders norepinephrine (Levophed) infusion to be titrated to maintain MAP 265 mm Hg. Which nursing action is the HIGHEST priority when initiating this medication?

A 65 year old male patient has experienced full-thickness electrical burns on the legs and arms. As the nurse you know this patient is at risk for the following: Select all that apply:

The nurse is performing triage after a mass shooting in a shopping mall. To which client does the nurse assign a black tag?

Following management of a disaster, a patient care technician tells the nurse, "I keep seeing the faces of people that died when I close my eyes." What is the appropriate nursing response?

A 39-year-old client is admitted with a severely abscessed tooth. The nurse assess vital signs of BP 92/44, HR 134, RR 26, Spo2 90% on room air, temperature 38.9° C. What is the priority nursing intervention?

What is the subset of sepsis in which circulatory and cellular metabolism abnormalities are profound enough to substantially increase mortality?

Which assessment finding in a client in the refractory phase of shock requires immediate nursing intervention?

A patient receiving treatment for a pneumothorax calls on the call light to tell you something is wrong with their chest tube. When you arrive to the room you note that the drainage system has fallen on its side and there is a large crack in the system. What is your next PRIORITY?

A client returns to the nursing unit following a bronchoscopy with moderate sedation and local anesthesia to the throat. The procedure was completed 30 minutes ago. Which assessment finding requires immediate nursing intervention?

While suctioning a client, vagal stimulation occurs. What is the appropriate nursing action?

What type of chest tube system does this statement describe? This chest drainage system has no water column to control suction but uses a suction monitor bellow that balances the wall suction and you can adjust water suction pressure using the rotary suction dial on the side of the system. It allows for higher suction pressure levels, has no bubbling sounds, and water does not evaporate from it as with other systems.

The nurse is caring for a client experiencing tachypnea, dyspnea, and confusion. Which of the following orders does the nurse anticipate receiving from the healthcare provider? Select all that apply

The nurse is caring for a client with acute respiratory distress syndrome (ARDS) secondary to a chest injury. The client has crackles in the bilateral posterior lung fields, tachycardia, delayed capillary refill, decreased urine output, and the following arterial blood gas (ABG) results: pH 7.56, PaO2 51, PaCo2 58, HCO3 24, SaO2 76%. Which is the healthcare team's priority?

The nurse is triaging a 65-year-old patient who arrived at the triage area with complaints of diaphoresis, dizziness, and left-sided chest pain. What category is appropriate?

Which statement describes the concept of scene safety in trauma situations?

The nurse is providing care for a patient who was assaulted with a baseball bat resulting in physical trauma to the abdomen. Which type of injury does the patient have?