Question 1 of 5.

Extract:The nurse in the emergency department (ED) is caring for a 64-year-old male client. Item 6 of 6 Nurses' Notes 1742: Client arrives at the emergency department via emergency medical services (EMS). He was skiing and crashed into a post and fell to the ground. Ski patrol assessed the client, and the client was confused and had no memory of the crash. Ski patrol reports that he was wearing a helmet and had a loss of consciousness for an unknown amount of time. On assessment, the client was alert and oriented to place and time but did not recall the events leading up to hospitalization, specifically the ski crash. Client states, “My head really hurts and I'm dizzy.” Reporting aching pain rated 8/10 on the Numerical Pain Scale. Reddish contusion on the client's forehead. Pupils were 2+, equal, and sluggishly reactive to light. Glasgow Coma Scale 14. Nose is midline and symmetrical. His speech was clear and articulate. Full range of motion in all extremities observed. Clear lung fields bilaterally. Radial pulse 2+ and irregular. Normoactive bowel sounds in all quadrants. No abdominal distention or pain. Vital signs: T 97.8° F (36.6° C), P 85, RR 15, BP 124/82, pulse oximetry reading 98% on room air. The client has a medical history of essential hypertension, generalized anxiety disorder, atrial fibrillation, and chronic back pain. Diagnostic Results Head and Neck Computed Tomography (CT) Scan with Contrast 1831: Bilateral convexity subarachnoid hemorrhage over the right frontal lobe. Laboratory Results 1849: Hemoglobin (Hgb) 14 g/dL [Male: 14-18 g/dL Female: 12-16 g/dL] Hematocrit (Hct) 42% [Male: 42-52% Female: 37-47%] International Normalized Ratio (INR) 3.8 [0.9-1.2] Platelets 140,000 mm3 [150,000-400,00 mm3] Home medications • multivitamin (MVI) 1 tablet PO daily • fluoxetine 20 mg PO daily • biotin 100 mcg PO daily • pantoprazole 40 mg PO daily • warfarin 2.5 mg PO daily • diltiazem controlled-release 120 mg PO daily Orders • insert peripheral vascular access device • serum type and screen • transfuse two units of fresh frozen plasma • perform a bedside swallow evaluation • apply sequential compression devices • obtain a complete metabolic panel (CMP)

The nurse transfused the prescribed fresh frozen plasma. Click to specify which assessment data is necessary after the transfusion of FFP.

Question 2 of 5.

Extract:The nurse in the outpatient clinic is caring for a 33-year-old female. Item 1 of 1 Nurses' Note 1435: Client reports vaginal discharge that is malodorous x 3 days. The client reports that the discharge is thin, green, and yellow. She reports being sexually active with multiple partners without any protection. She denies any dysuria, dyspareunia, fevers, chills, or fatigue. The client is alert and oriented to person, place, and time. Reports no pain. Lung sounds are clear, with a regular breathing pattern. Active bowel sounds in all quadrants. Peripheral pulses were 2+ and regular—no peripheral edema. Skin is warm and moist. Vital signs: T 98° F (36.7° C), P 72, RR 18, BP 132/76, pulse oximetry reading 98% on room air.

Complete the following sentences by choosing from the lists of options. The client is demonstrating signs and symptoms of ___ To confirm this diagnosis, the nurse anticipates a physician's order for...........

Question 3 of 5.

A nurse is taking care of a client with acute peritonitis. The nurse should do which of the following to meet the client's nutritional needs?

Question 4 of 5.

Extract:The following scenario applies to the next 1 items The nurse cares for a primigravida in labor. Item 1 of 1 Nurses' Note 1940: The client is alert and fully oriented. The client is talkative and has an anxious affect. Cervical dilation of 6 cm with 100% effacement. No vaginal discharge was noted. Contractions are noted every 2-3 minutes, lasting 40-60 seconds with moderate intensity. Fetal Heart Rate Continuous fetal heart monitoring (FHR): 130-145/minute with normal variability. Vital Signs • Oral Temperature 98o F (37o C) • Heart rate 84/minute • Respirations 20/minute • Blood pressure 131/72 mm Hg • Oxygen saturation 95% on room air

The nurse reviews the client's clinical data. Drag a word from the choices below to complete the sentence. Based on the clinical data, the client is in the ___ stage of labor. Specifically, the ___ phase.

Question 5 of 5.

The nurse is caring for a client who has been prescribed sertraline. The nurse understands that this medication is prescribed for which of the following conditions?