A 32-year-old male construction worker presents to the emergency department with complaints of headache, abdominal cramps, nausea, lightheadedness, and extreme fatigue. The patient states he started feeling ill while at the job site
The nurse gathers the following data: T = 99.8°F, P = 96, RR = 36, and BP = 136/72. The patient's skin is cold and clammy, and the patient is having difficulty answering questions. He tells the nurse that he is "never sick," takes no medicines, and has never been in the hospital. What additional information would be most useful in determining whether he is experiencing heat exhaustion (hyperthermia)?
1) Past medical and surgical history
2) Immunization history
3) Dietary intake for the past 24 hours
4) Environmental temperature
ANS: 4
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The nurse is caring for a patient with refractory atrial fibrillation who underwent the maze procedure several months ago
The nurse reviews the result of the patient's most recent cardiac imaging, which notes the presence of scarring on the atria. How should the nurse best respond to this finding? A) Recognize that the procedure was unsuccessful. B) Recognize this as a therapeutic goal of the procedure. C) Liaise with the care team in preparation for repeating the maze procedure. D) Prepare the patient for pacemaker implantation.
A patient is being discharged after a liver transplant and the nurse is performing discharge education. When planning this patient's continuing care, the nurse should prioritize which of the following risk diagnoses?
A) Risk for Infection Related to Immunosuppressant Use B) Risk for Injury Related to Decreased Hemostasis C) Risk for Unstable Blood Glucose Related to Impaired Gluconeogenesis D) Risk for Contamination Related to Accumulation of Ammonia
A nurse explains that the normal bladder will empty when it reaches the capacity of _____ to _____ mL
Fill in the blank(s) with correct word
Food moves through the digestive tract of elderly persons rapidly, increasing the incidence of diarrhea.
Answer the following statement true (T) or false (F)