The nurse is caring for a client who was camping overnight. The client is vomiting and has severe pain in the left foot Blood pressure is 90/60, and the left lower leg is swollen and red. For which condition will the nurse assess as the priority?

A patient receiving treatment for a pneumothorax calls on the call light to tell you something is wrong with their chest tube. When you arrive to the room you note that the drainage system has fallen on its side and there is a large crack in the system. What is your next PRIORITY?

The nurse is assessing a client who sustained a blunt chest injury. Which would indicate to the nurse that the client is exhibiting a flail chest?

The doctor orders your patient to start an IV Heparin drip at 16 units/kg/hr and to administer a loading bolus dose of 60 units/kg IV before initiation of the drip. You're supplied with a Heparin bag that reads 12,500 units/250 mL. The patient weighs 198 lbs. What is the flow rate you will set the IV pump (mL/hr)?

A 72-year-old client is admitted from a skilled nursing facility with altered mental status and a productive cough. The nurse performs an assessment and documents the following findings: Temperature 101.8°F (38.8°C), heart rate 94 beats/min, respiratory rate 24 breaths/min, blood pressure 118/72 mm Hg, and WBC count 14,200/mm3. Based on the SIRS criteria, which findings indicate this client meets criteria for systemic inflammatory response syndrome? Select all that apply.

The nurse is assessing a client who is in shock. Which of the following findings would indicate to the nurse that the client is entering an irreversible stage?

A 65 year old male patient has experienced full-thickness electrical burns on the legs and arms. As the nurse you know this patient is at risk for the following: Select all that apply:

Which one of the following assessments is most appropriate for determining the correct placement of an endotracheal tube in a mechanically ventilated client?

Following management of a disaster, a patient care technician tells the nurse, "I keep seeing the faces of people that died when I close my eyes." What is the appropriate nursing response?

An adult patient is admitted to the ICU with Acute Respiratory Distress Syndrome (ARDS). The patient has been intubated and is mechanically ventilated. The patient is becoming increasingly agitated, and the high-pressure alarm is frequently being triggered. Which of the following interventions would the nurse do first? 1.25 Points

Which statement describes the concept of scene safety in trauma situations?