Your patient is a 23-year-old female in moderate respiratory distress, complaining of difficulty breathing. She describes an acute onset of shortness of breath 15 minutes ago that has been getting progressively worse and has not responded to her Atrovent inhaler. Physical examination reveals cool, pale, and diaphoretic skin and clear lung sounds bilaterally. She has a history of asthma, is a smoker, and had breast-reduction surgery yesterday. Medications include Atrovent and albuterol inhalers and birth control pills. HR = 129, BP = 100/60, RR = 26, SaO2 = 91%. In addition to 100 percent oxygen, which of the following is the most appropriate treatment?
IV of NS with 250 cc fluid challenge
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A nurse is caring for a female neonate born to observant Orthodox Jewish parents. What book does the nurse know will be used when naming this neonate?
a. Bible b. Koran c. Holy Torah d. Book of Mormon
A nursing instructor is presenting content on the provisions of the Nurse Practice Act as it relates to their state. Which student statement indicates a need for further instruction?
A. "The Nurse Practice Act provides a list of definitions of important terms, including the definition of nursing." B. "The Nurse Practice Act lists education requirements for licensure and reciprocity." C. "The Nurse Practice Act contains detailed statements that describe the scope of practice for registered nurses (RNs)." D. "The Nurse Practice Act lists the general authority and powers of the state board of nursing."
The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?
A) Screening for congenital defects B) Screening for abuse C) Screening for childhood illnesses D) Screening for infectious diseases
Your patient with chronic kidney disease is scheduled for dialysis in the morning. YOU are reviewing the most current lab results for this patient and note which abnormal finding which would be consistent with the oliguric phase?
A. BUN 13 B. Calcium 9.3 C. Potassium 7.1 D. Specific gravity 1.025