You are caring for a patient who was ejected from a vehicle during a bad car accident on the freeway. Your patient has an open fracture of the right ulnar bone and multiple small lacerations. Based on the mechanism of injury (MOI) what would be a priority to place on the patient?

A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his lips are cyanotic. The nurse should anticipate which of the findings as an indication of hypovolemic shock?

A nurse is caring for a client who has the following arterial blood gas results: HCO3 18 mEq, PaCO2 28 mm Hg and pH 7.30. The nurse recognizes the client is experiencing which of the following acid-base imbalances?

A nurse is admitting a client who has sustained severe burn injuries in a house fire. The nurse shades in a diagram indicating the burned surface areas. Using the Rule of Nines, the nurse should estimate that the client has burned what percentage of body surface area? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailling zero.)

An acute care nurse receives shift report for a client who has increased intracranial pressure. The nurse is told that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe when assessing the client?

You note the cardiac electrical rhythm below (see 6-second EKG strip). Which of the following would BEST describe the client's rhythm?

A nurse is assessing the fluid status of a patient who sustained 40% second degree burns to chest and extremities. The client is 5 hours post-burn injury. The nurse determines that the client is exhibiting signs of inadequate fluid volume and notifies the physician because the client is exhibiting the following:

A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider?

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nursing priority?

A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. The client reports dyspnea and severe pain. The nurse notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?

You are a nurse caring for a patient who was just brought into the emergency department after falling off a roof at a construction site. Upon assessment, you note that the patient's respirations are 32/min and the blood pressure is falling. The patient's trachea appears to be right of midline, and the patient's respiratory effort appears to be becoming more and more labored. What is your MOST likely PRIORITY action?