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

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 64-year-old woman is brought to the emergency department due to fever, chills, flank pain, and lethargy for the past 2 days.  Temperature is 38.9 C (102 F), blood pressure is 100/60 mm Hg, and pulse is 120/min.  The patient has right costovertebral angle tenderness.  Leukocytes are 16,000/mm3 and urinalysis shows pyuria, many bacteria, and positive nitrites.  ECG shows sinus tachycardia.  A central venous catheter placement is planned for intravenous therapy and hemodynamic monitoring.  After the patient's chest is appropriately prepared and draped, a needle is inserted just lateral to the angle of the left clavicle and a triple lumen catheter is placed into the left subclavian vein.  Each lumen is flushed with sterile saline after obtaining blood return.  The catheter is sutured in place to the skin and a sterile dressing is applied.  Which of the following is the best next step in management of this patient?

A 40 years old, is brought to the emergency room after the crash of his private plane. He has suffered multiple crushing wounds of the chest, abdomen and legs. It is feared his leg may have to be amputated. What assessment assumes the greatest priority?Question 6Answera.Level of consciousness and pupil sizeb.Pain, Respiratory rate and blood pressurec.Abdominal contusions and other woundsd.Quality of respirations and presence of pulses

When caring for a patient who has septic shock, which assessment finding ismost important for the nurse to report to the care provider?(a) BP 92/56(b) Skin cool and clammy(c) Apical pulse 118 beats/min(d) Arterial oxygen saturation 91%

A 48 year old man has presented with a 2 hour history of crushing chest pain, his BP is 140/90, pulse is 88, respirations are 18, and oxygen saturation is 99 %. He is calm and in no distress. Which of the following orders by the physician would be expected first.Morphine 10mg IV, oxygen 2 lit/min, Aspirin 162mg, Nitroglycerine 1/150 SLAspirin 162mg, 12 lead EKG, IV access, Nitroglycerine 1/150 slHeparin, Tenecteplase (TNKase), oxygen, aspirin12 lead EKG, cardiac enzymes, morphine 4mg IV, heparin drip 800u/hr.