A patient receiving heparin therapy develops a platelet count of 120,000/mm3 (normal: 150,000-450,000) and presents with red and swollen legs. The nurse suspects Heparin-Induced thrombocytopenia. What is the nurse's priority action?

A 37-yr-old female patient is hospitalized with acute kidney injury (AKI). Which information will be most useful to the nurse in evaluating improvement in kidney function?

During the emergent phase of burn care, which nursing action will be most useful in determining if a patient is receiving adequate fluid resuscitation?

The development of acute disseminated intravascular coagulation (DIC) is a critical setback for the patient. The nurse knows that which are common risk factors for the development of acute DIC? Select all that apply.

A patient with facial burns suddenly becomes restless with stridor. What is the nurse's priority action?

When caring for a patient with a head injury, a nurse must stay alert for signs and symptoms of increased intracranial pressure (ICP). Which cardiovascular findings are late indicators of increased ICP?

The nurse is assessing a patient with a burn injury using the "rule of nines." Which information will this assessment contribute to future care planning?

A patient with newly diagnosed ITP is admitted with petechiae and ecchymoses. Which action should the nurse take first?

A patient with extensive electrical bum injuries is admitted to the emergency department. Which of these prescribed interventions would the nurse implement first?

A burn patient is placed on enteral feeding. Which diet is most appropriate for promoting wound healing?

A patient presents to the emergency department after a fall. The nurse notes raccoon eyes and rhinorrhea. The healthcare provider suspects a skull fracture. Which of the following nursing interventions is most appropriate?

The patient with leukemia has acute disseminated intravascular coagulation (DIC) and is bleeding. What diagnostic finding supports this diagnosis?

A patient with suspected inhalation injury has hoarseness and singed nasal hair. What is the nurse's first action?

Six hours after a thermal burn, the nurse obtains the following assessment data for a patient who weighs 70 kg and has a 50% total body surface area (TBSA) burn. Which information is most important to communicate to the health care provider?

A patient has returned to the medical surgical unit after receiving peritoneal dialysis. Which of the following nursing interventions should the nurse implement to prevent peritonitis?

The nurse is explaining to a patient the difference between hemodialysis and continuous renal replacement therapy (CRRT). What statement by the patient leads the nurse to determine that additional education is needed?

A patient is diagnosed with a brain abscess and is being prepared for treatment. The nurse is reviewing the patient's medical history. Which of the following factors is most likely to contribute to the development of a brain abscess in this patient?

A patient with chronic kidney disease (CKD) develops anemia. The nurse explains to the patient that anemia in CKD is primarily due to which cause?

A patient who is suspected of having an epidural hematoma is admitted to the emergency department. Which action will the nurse plan to take?

A patient is scheduled for an electromyography (EMG) test. The nurse is preparing the patient for the procedure. Which of the following actions should the nurse take to ensure the patient's safety and comfort during the EMG?

A nurse is caring for a postoperative patient following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?

A patient who has had a craniotomy is admitted to the ICU. The nurse notes that the patient is having difficulty speaking, and the right pupil is dilated and nonreactive. The nurse suspects increased intracranial pressure (ICP) and plans to assess the patient's neurological status. Which of the following should the nurse assess first?

The nurse is caring for a patient with a diagnosis of immune thrombocytopenic purpura (ITP). What is a priority nursing action in the care of this patient?

A nurse is assessing a patient and suspects the patient is experiencing disseminated intravascular coagulation (DIC). Which physical findings would the nurse expect?