Muchirigathiru1

A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't sleep because a young child kept coming into the room. What is the most likely cause for these signs and symp...

which of the following uses databases applications to shift through large amounts of data and looks for previously hidden trends -data mining a nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record the nurse determines the patient needs this vaccine before discharging to meet the requirements of a current clinical pathway why would the nurse use information systems in this manner -to promote desired clinical outcomes a nursing informatics specialist ...

A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and mental health nurse practitioner goes on vacation. The best explanation for this reaction is that the patient: A. has failed to develop clear ego boundaries. B. has failed to master object constancy. C. is employing primitive idealization. D. is employing projective identification. - B. has failed to master object constancy 2. A patient has been taking escitalopram (Lexapro) 10 mg dail...

MARCH mneumonic - Massive Hemorrhage: Control with combat gauze, celox gauze, or chito gauze; replacement of blood loss with whole blood or 1:1:1 ratio of plasma, RBC, and platelets to achieve SBP of 80-90mmHg. Airway: Establish and maintain patent airway Respiration: Decompress suspected tension pneumothorax, seal open chest wounds, and support ventilation and oxygenation as required. Circulation: Provide vascular access (IV/IO) and administer fluids as required to treat shock Head injur...

A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't sleep because a young child kept coming into the room. What is the most likely cause for these signs and symp...

just keep evaluating - vipp - What does the J stand for at the end of the secondary survery? vital signs, injuries/interventions, primary survey, pain - What does VIPP stand for? flank - During the head-to-toe, where would you find Grey-Turner's sign? umbilicus - During the head-to-toe, where would you find Cullen's sign? inspecting posterior - What is sometimes deferred at the end of the head-to-toe? AFTER head-to-toe, BEFORE J (VIPP) - Antibiotics, consults, head CT, imaging, law enforc...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - Airway/Intubate Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - Biologic Suspected shock type with a spinal cord injury - Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blow...

Effective communication •Skilled communication, cooperation, and coordination are the cornerstones of high-performance teams and high-quality trauma care - What is the key to a high-performance trauma team? Reprioritize circulation before airway or breathing. •The across-the-room observation is done at the beginning of the primary survey to rapidly assess the need to reprioritize circulation before airway or breathing. This is done if uncontrolled external hemorrhage is identified - Th...

All of these are considered a critical communication point in trauma care EXCEPT which of the following? - Defusings A defusing is part of critical incident stress management but is not considered a critical communication point in trauma care. .During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. What priority nursing intervention should be performed next? - Insert an oropharyngeal airway if there is no gag reflex Snoring respir...

1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - Hemoglobin does not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen. EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant damage to the driver's side of the car. The patient is asking to have the cervical collar ...