You are caring for a patient with circumferential burns on his right leg. You note that the capillary refill in his right big toenail is not as brisk as it was 2 hours ago and that the pedal and tibial pulses are only noted by Doppler. What is your best plan of action?

A patient with possible disseminated intravascular coagulation arrives in the emergency department with a blood pressure of 82/40, temperature 102° F (38.9° C), and severe back pain. Which physician order will the nurse implement first?

Why are narcotics given intravenously to manage pain during initial management of the patient with burns?

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Four victims of an automobile crash are brought by ambulance to the emergency department. The triage nurse determines that the victim who has the highest priority for treatment is the one with

A patient who was an unrestrained driver in a high-speed, head-on motor vehicle collision presents with dyspnea, tachycardia, hypotension, jugular venous distension, tracheal deviation to the left, and decreased breath sounds on the right side. What is the most likely diagnosis?

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 43 year old male presents to the ER following an MVC with paralysis of the arms and legs and loss of sensation below the shoulders. VS: BP 70/40; HR 48; RR 16; SpO2 81%. When anticipating treatment for this patient's condition, the nurse recognizes the priority goal of treatment is to:

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

An 80-year-old female presents to the ER with complaints of feeling more fatigued for the last three days and has had a fever the last 24 hours. She reports painful, burning sensation when she urinates as well as increased frequency of urination the last week. It has been 90 degrees this past week. She usually drinks 2-3 glasses of liquid a day and a cup of tea. Her daughter became concerned and brought her to the ER when she did not know what day it was. She has no history of confusion or diabetes. Labs were obtained. Which of the following lab results are RELEVANT that must be recognized as clinically significant to the nurse and requires immediate intervention? Select all that apply.

At the end of your shift, the ICU supervisor consults with you about which of the oncoming staff members is best to assign to care for a 54-year-old female with septic shock with the following vital signs: BP 86/40, HR 112, O2 saturation 93%, RR 32, and T 103 F. She is currently on a Dopamine drip and is being mechanically ventilated. Which RN is the most appropriate to assign to care for this patient?