A patient in the emergency department (ED) becomes suddenly unresponsive. CPR is initiated. Arterial blood gas results reveal pH 7.225, PaCO2 55, HCO3 15, PaO2 45, SaO2 76%. The nurse would prepare for which priority intervention?
1. Call for a rapid response team.
2. Auscultate the patient's lungs.
3. Place the patient on a 50% humidified mask.
4. Administer endotracheal intubation.
Answer: 4
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a. with the device in place. b. without the device in place. c. without assessing the area that is supported by the device. d. with an estimate of the margin of benefit the device has provided.
The nurse is preparing to assess the frequency of contractions for a patient in labor. Which process should the nurse use to time the contractions?
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The client with active tuberculosis has started therapy with isoniazid and rifampin. He reports that his urine now has an orange color. What is the nurse's best action?
A. Document the report as the only action. B. Obtain a specimen for culture. C. Test the urine for occult blood. D. Notify the physician.
A patient who is in a convalescent or nursing home is visited by the physician:
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