An 84-year-old woman is brought to the emergency department after she was found abandoned in her home after a severe hurricane 4 days previously. The patient suffers from dementia and is wheelchair bound because of a healing hip fracture but has no other significant medical problems. On examination the patient is alert but disoriented, weight 60 kg, BP 100/60, HR 100, respiratory rate (RR) 16. You note poor skin turgor but no other acute abnormalities other than related to her hip fracture. Laboratory values are as follows:Na+ 156 mEq/LK+ 3.8 mEq/LBUN 38 mg/dLCreatinine 1.3 mg/dL Which of the following would be the most appropriate orders for the management of this patient's fluid and electrolyte status?Ask StudybuddyGroup of answer choices2-L bolus of 0.9% saline followed by 0.9% saline at 100 mL/hourD5W at 100 mL/hour with 60 mg furosemide IV × 1.3% saline at 100 mL/hour2-L bolus of D5W (5% dextrose solution in water) followed by D5W at 100 mL/hour0.45% saline at 150 mL/hour

A 35-year-old male arrives to the emergency room with multiple long bone fractures and an internal abdominal injury. The patient is anxious. Patient's vital signs are: Blood pressure 70/54, heart rate 125 bpm, respirations 30, oxygen saturation on 2 L nasal cannula 96%, temperature 99.3 'F, pain 6 on 1-10 scale. During assessment it is noted the skin is cool and clammy. The nurse will make it priority to?Question 7Select one:a.Establish 2 large-bore IV access sitesb.Obtain an EKGc.Place a warming blanket on the patientd.Collect a urine sample

A 29-year-old woman is brought to the emergency room after falling off her third floor apartment balcony. The patient suffered blunt abdominal trauma, a right femur fracture, and a left humeral fracture. On physical examination, her blood pressure is 70/30 mmHg and her heart rate is 120 beats per minute. After the administration of 5 units of packed red blood cells, the patient reports a “pins and needles” sensation on her distal toes and around her mouth. Laboratory testing confirms a calcium level of 6.9 mg/dL and a magnesium level of 1.1 mEq/L. Which of the following is the underlying cause of this patient's hypocalcemia and hypomagnesemia?

The nurse is caring for a client who had open reduction and internal fixation (OR + IF) of the right femur four days ago. The client complains of intense pain, swelling, tenderness and warmth at the site, chills, malaise, and has a temperature of 39 0C. This data indicates which of the following?

A 62-year-old man with a history of congestive heart failure (CHF) presents with confusion, nausea, and vomiting. Physical examination reveals peripheral edema, bibasilar crackles, and jugular venous distention. The patient is found to have a sodium level of 112 mEq/L. The physician places the patient on free water restriction. Which of the following laboratory values do you expect with respect to the fractional excretion of sodium (FENa) and urine sodium (UNa) with this condition? FENa UNa(A) >1% <10 mEq/L(B) >1% >20 mEq/L(C) <1% <10 mEq/L(D) <1% >20 mEq/L

While on-call in the hospital, you are called to evaluate a 74-year-old female for SOB and increasing oxygen requirements. She does not have a cough. The patient was admitted yesterday with multiple leg fractures after a motor vehicle accident. She has been on strict bed rest since admission while a plan is made for surgical repair. She has mild chest pain and feels short of breath. Past medical history is significant for HFpEF and COPD. She is adherent with her medications, which include tiotropium, furosemide, and carvedilol. Temperature 100.0°F, BP 116/74 mm Hg, pulse 120, RR 24, oxygen saturation 91% on 4 L of oxygen via nasal cannula. General examination reveals a patient who is alert and oriented to name and year but not to place. Mental status on admission was normal and she has no history of neurocognitive disorder. Lung examination reveals good air movement throughout with no wheezing, crackles, or consolidation. JVP is not elevated. There are scattered petechiae on the upper chest. Bilateral lower extremities have symmetric 1+ edema without calf tenderness. CT chest shows scattered ground-glass opacities without consolidation, no segmental or subsegmental emboli, and no effusions. What is the appropriate next step in management?Ask StudybuddyGroup of answer choicesFurosemideReduction of fractureIV heparinLevofloxacinAlbuterol