Topexcelgrades

Emergency Medical Service has brought a 24-year-old man to the ED with gunshot wounds to his abdomen and left groin area. His blood pressure is 84/52 and heart rate is 120 per minute. His skin is diaphoretic, cool, and pale. The treatment the nurse should prepare for is: a. Chest compressions b. Endotracheal intubation c. Administration of verapamil d. Rapid administration of a crystalloid solution ️️ d. Rapid administration of a crystalloid solution The gunshot wounds and symptoms wo...

A cancer patient is seen in the emergency department with high fevers and malaise for 2 days. She received chemotherapy about 10 days ago. Her physical exam is not revealing but her temperature is 103°F. A CBC shows a hemoglobin of 10 g/dL, WBC 4000 with 10% polys, 5% bands, 70% lymphs, 10% monos, and 5% other white or unidentified cells. Platelets are 60,000/mm3. Which of the following is NOT immediately appropriate? cultures from different sites rolytes, liver and renal function tests i...

A patient has just been diagnosed with endocarditis. While preparing for surgery for valvular repair, which intervention will the nurse perform? Insert a urinary catheter Insert a gastric tube Begin an infusion of nitroprusside Administer antibiotics ️️ Administer antibiotics A patient has an unsteady gait, weakness, diminished sensation to the face and arms, and vision changes. These findings are most likely associated with neurological condition? Myasthenia gravis Amyotrophi...

A 60-year-old female presents with persistent fatigue, night sweats, and painless swelling of cervical lymph nodes. Laboratory tests show an elevated LDH level. A lymph node biopsy reveals a diffuse large B-cell lymphoma. What is the most appropriate next diagnostic test to further characterize the extent of the disease? A) Bone Marrow Biopsy B) Chest X-ray C) PET-CT Scan D) Lumbar Puncture C) PET-CT Scan Lumbar puncture → if sinus, testicular, orbital, epidural, or BM involvement (would...

MT is 62 year old female (64 in, 71 kg) who had breast cancer. She just completed her third cycle with doxorubicin and cyclophosphamide today. What was MT's absolute neutrophil count after cycle 1 of chemo? 2070 MT is 62 year old female (64 in, 71 kg) who had breast cancer. She just completed her third cycle with doxorubicin and cyclophosphamide today. MT's ANC after the second cycle would be most accurately described as which of the following? Severe neutropenia MT is 62 year old ...

What percentage of psychosocial concerns of cancer pts are identified and refereed for help? ️️ <10 % Medicare and hospice care (which statement is correct) ️️ The patient may be billed a small fee for impatient respite care Osteopenia is a late effect in which Cancer survivors ️️ Breast cancer, prostate cancer True about health care proxies ️️ Proxies cannot be physicians, nurses or other health care providers unless the person is a close relative Which statement ...

A patient is diagnosed with osteoid osteoma. The nurse should be able to confirm this is a benign tumor that a. requires wide excision in 90% of affected patients. b. causes night pain that can be relieved by aspirin. c. usually develops into a large osteoblastic lesion. d. occurs most often in the spine and femur. ️️ b. causes night pain that can be relieved by aspirin. Rationale: As a primary benign tumor, osteoid osteoma is characterized by night pain often relieved by aspirin or N...

When assessing a patient gait and posture how far apart should a patient s heels be as they pass while walking? ️️ 2-4 inches What is the primary concern for the orthopedica nurse when monitoring a patient with a new cast on a an upper extremity ️️ neurvascular status Which of the following neurovascular injuries is associated with distal radius fracture ️️ median nerve injury A patient experienced a traumatic posterior acetabular (hip) dislocation in an auto accident. which...

What are the normal ranges for PT? What is PT used to help regulate? What is the therapeutic range? ️️ 11-12.5 is a normal PT range PT is used to help regulate Coumadin dosages. The therapeutic range: 1.5 to 2 times normal or control What are the normal ranges for INR? What type of patients should have individualized values What should the values be for those patients? ️️ 0.8-1.1 normal INR Individualized values for pts with: Afib and DVT between 2.0 and 3.0 mechanical heart ...

Apgar Scoring ️️ A-appearance P-pulses G-grimace A-activity R-reflexes done at 1 and 5 min with a score of 0 for absent, 1 for decreased, and 2 for strongly positive AVA ️️ the umbilical cord has two arteries and one vein (arteries carry deoxygenated blood. The vein carries oxygenated blood) FAB 9-Folic acid=B9 (B stands for brain) decrease the incidence of neural tube defects ️️ the client should be taking B9 three months prior to becoming pregnant abnormalities in the labo...