Clinical assessment prophecy-Emergency Department RN-Recipient Name: Bianca Cornely

Clinical assessment prophecy-Emergency Department RN-Recipient Name: Bianca Cornely consistent with which of the following? Primary syphilis infection Neurological Question:Your patient is an 84-year-old man who presents to the ED with increasing forgetfulness, restlessness, and anxiety,which has become progressively worse over the past 2 months. The patient feels well and is independent with his ADLsbut will forget where he placed things. The head CT, labs and ECG are all normal. The diagnosis is likely dementia.Which of the following is correct about dementia?The patient will present with progressive deterioration in cognition and an altered level of consciousness Professional Issues Question:A nurse is at end of their shift and has been dealing with a difficult and unruly patient. The nurse threatens to placethe patient in restraints without justification. This is an example of:false imprisonment Trauma Question: A 28 year old, obstetrical patient presents at 38 weeks gestation status post motor vehicle collision. Upon arrival viaEMS, you note she is on a backboard and c-collar is in place. What is the immediatenursing intervention for thispatient? Place fetal monitor to patient's abdomen Pulmonary Question:A 26 year old male with a history of asthma presents to the ED with dyspnea, audible expiratory wheezes, substernalretractions, accessory muscle use, with BP-145/72, HR -100, RR-32, O2 Sat 88% on room air. What is the FIRSTtreatment of choice for this patient? Give supplement oxygen via 100% NRB mask Integumentary/Wound/Orthopedic Question:A 36 year old male presents to the ED with an amputated hand. What should you do FIRST?Elevate affected extremity above heart Integumentary/Wound/Orthopedic Question:Of the following patients, which one needs referral to the closest burn center?Children with any type of burn Integumentary/Wound/Orthopedic Question:Your patient arrives hypotensive and tachycardic after a motorcycle collision. His pelvis is unstable upon palpation anda portable pelvic film reveals an open book pelvic fracture. What immediate intervention should you expect? The patient is taken directly to the OR for surgical fixation Neurological Question:TPA would be contraindicated for which of the following patients?67 year old with symptom onset 3 hours ago Endocrine Question:A 54 yr old male with a history of non-insulin dependent diabetes, presents to the ED with new onset of confusion,weakness, lethargy and nausea with frequent large volume urine output. Vital signs are BP-102/54, HR-115, RR-12, T- 97.4 and oxygen saturation is 97% on room air. Blood glucose is 725 mg/dl. pH is 7.40. What diagnosis would you expect to see for this patient?Diabetic ketoacidosis GI/GU/Obstetrical Question:A 24 year old female, who has recently recieved methotrexate for a tubal pregnancy, presents to the ED with severeabdominal pain. What would be the PRIORITY nursing intervention?Prepare for a pelvic exam and assess for vaginal bleeding Neurological Question: A 3 year old boy with a history of hydrocephalus with a cerebral shunt arrives to the ED with a fever of 102.0°F, anenlarged abdomen, tachycardia and hypotension. The patient is mildly lethargic, however is cooperative with the EDstaff. Immediate treatment for this child should include:Draining the shunt GI/GU/Obstetrical Question:An 88 year old male transferred to the ED from a nursing home with a chief complaint of being unable to void for thepast 12 hours. He has a history of prostate cancer. Which of the following nursing interventions should be performedFIRST? Use bladder scanner to determine total amount of urine retained Critical Thinking Question: When caring for a patient who has recieved a massive blood transfusion, monitoring which of the following lab resultsis a top priority?Hematocrit count ED Pharmacology Question: What medication would you anticipate administering to a six month old having an activetonic-clonic seizure?PhenytoinGI/GU/Obstetrical Question: