Question 52 A nurse is caring for a 3-year-old patient diagnosed with Influenza. On assessment, the nurse notes poor peripheral perfusion, capillary refill >3 seconds, tachycardia, increased lethargy and hypotension. Which of the following complications should the nurse suspect? Question 52 options: Septic Shock Secondary pneumonia Sepsis SIRS
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Question 52
A nurse is caring for a 3-year-old patient diagnosed with Influenza. On assessment, the nurse notes poor peripheral perfusion, capillary refill >3 seconds, tachycardia, increased lethargy and hypotension. Which of the following complications should the nurse suspect?
Question 52 options:
|
Septic Shock |
|
Secondary pneumonia |
|
Sepsis |
|
SIRS |
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- I need help with a respiratory question, thanks What is the ideal route for the administration of most drugs used in emergency life-support situations? Group of answer choices Endotracheal tube Direct intracardiac injection Intramuscular injection Peripheral intravenous lineRespond to the questions below use between 4-6 sentences in a paragraph form and grammar error free format. The cardiology department of Smithville Community Hospital wants to expand the cardiovascular lab to include additional procedure rooms and equipment. Several cardiologists have mentioned that there seems to be an increase in the number of patients and number of cardiac procedures performed. The hospital CIO was asked to evaluate the request and provide an initial report to the Board of Directors. The CIO worked with the VP of clinical operations to write the report. Using the physician and procedure indices within EHR, the CIO and VP completed a 10-year historical analysis of all cardiac patients and procedures. They identified inpatient and outpatient procedures, documented the number of outpatients who were also cardiac inpatients at some point, and reviewed wait times for scheduling of procedures. Four years of historical data was available in the current EHR for wait-time…Question 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minute
- Question: What is the possible diagnosis of the patient? Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain. Present Health history: chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment. Laboratory: Temperature 36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure -120/90,URIC ACID :10.20 mg/dL,CREATININE :1.33 mg/dLTwo patients presented to the Emergency Department. They were experiencing two different sets of signs and symptoms. The first patient, Patient A, is a very old woman who presented with cardiac issues. Her ECG (electrocardiogram) result was very abnormal. She was admitted to the ICU on the same day. She told the physician on duty that she had diarrhea for 1 and a half months. The admission laboratory work showed a potassium level of 1.1 mEq/L. The other patient, Patient B, is a 15-year-old female, of Chinese descent, who experiences dizziness, malaise, nausea, loss of appetite, chilly sensation, dyspnea, and projectile vomiting. Her laboratory results show a significant decrease/deficiency with the trace element selenium. A. What is a likely reason for Patient A's cardiac abnormalities? Explain why. B. Why was Patient A's potassium level so low? Discuss your answer. C. What is the most probable diagnosis for Patient B? D. What other diseases are associated with selenium defiency?Miss Josepovic (80 year old) was admitted yesterday following a fall at home. She did not sustain any serious injury but has been kept in for monitoring, medication review and further investigations. Her past medical history is:, Congestive Heart Failure (CHF), mild renal impairment, hypertension, type 2 diabetes. Since admission she has been diagnosed with Atrial Fibrillation (AF) Her medications are: Enalapril 10mg daily, Metformin 1g BD, Paracetamol 1g prn (max dose 4g in 24hors). She has commenced Dabigatran 150mg BD, Metoprolol 50mg BD. Outline the mechanism of action of Dabigatran and Metoprolol and explain the rationale for commencing Miss Josepovic on these drugs.
- I nend help with this question please SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital…Answer both questions, don't tell me to keep resubmitting my question if you are not able to answer all. Skip if u will not answer both questions! The HCP orders MEDICATION 20mEq IVPB, pharmacy sends up four 5 mEq bags to infuse over 1 HR each. At change of shift the nurse reports that the first of the 5 mEq doses was hung at 0630. Calculate the completion time of the entire bolus replacement. (Use military time; include hrs and minutes) Dosing protocol is prescribed for a client weighing 60 kg. Per protocol, the loading dose is 10 units/kg IV. How many units should the nurse administer? (Enter the numeric value only. If rounding is required, round to the nearest 100 units)Patient #1: John Smith is an 85-year old male admitted for Dr. Lee. He fell at home. He has a history of COPD, smoked one pack per day for 60 years, CHF and DM. He had surgery two days ago for the left hip fracture. We are to change the dressing daily and PRN. The incision site is slightly pink, edematous, and draining sanguineous drainage. I changed the dressing once in the night. They stopped his IV fluids yesterday. He is saline locked. The patient gets QID blood sugar checks. I checked him in the night because he felt kind of sweaty and didn't talk to me much, but his sugar was 110. I checked his vitals at 0450- Temp 99.0, HR 98, R-20, BP 100/65, O sat 91 & on 1 liter, I bumped up his oxygen to 3 liters at that time. His lung sounds are coarse. As for as orientation goes. Patient #2: Maria is a 40 year old patient. She was admitted two days ago with DKA. She has a history of poorly controlled DM-Type 1. Apparently her blood sugars have been poorly controlled over the last week…
- Question 2 Oxygenation - Patient 2 Patient Data History and Physical Nurses' Notes Imaging Studies ↑ 0800 The 77-year-old male client has a productive cough with thick, green secretions. Heart sounds are muffled. Breath sounds are diminished bilaterally with inspiratory and expiratory wheezes noted. The client denies pain, rating his pain a 0 on a 0-to-10 pain scale. He reports dyspnea (difficulty breathing). His chest is barrel shaped. The client ate only 25% of his breakfast today. Vital signs: temperature 98.4° F (36.9° C), pulse 96 beats/minute and regular, respirations 24 breaths/minute and labored, BP 140/74 mmHg, oxygen saturation 90% at rest on 2 L of oxygen via nasal cannula. The nurse reviews assessment data and health history from the medical record. Which finding indicates this client is experiencing impaired oxygenation? Select all that apply. Productive cough Muffled heart sounds Diminished breath sounds Wheezing Dyspnea Barrel-shaped chest Oxygen saturation of 90%…Nursing Questions Which of the following symptoms most likely indicates that an infusion is infiltrated ?A. Redness and heat at the siteB. Pain at the siteC. Puffiness and cool at the siteD. Exudates at the site.Question 54 A 5-month-old infant was admitted to the pediatric unit with bronchiolitis. They are currently being monitored and receiving supportive care, including supplemental oxygen. Which of the following should be included in the nurse's assessment and documentation? Select all that apply. Question 54 options: Hydration status Oxygen saturation Respiratory rate and work of breathing Findings on auscultation Feeding status