PROPHECY EMERGENCY DEPARTMENT RN A Test 2022

PROPHECY EMERGENCY DEPARTMENT RN A Test 2022-A 22-year-old man with sickle cell disease is brought into the ED by Campus Police from his local university. He is complaining of increasing pain to his bilateral lower extremities, consistent with his past sickle cell pain crisis. Which intervention would you expect the provider to order? - IV Fluids Normal Saline TPA would be contraindicated for which of the following patients? - 80 year old diagnosed with stroke 2 weeks ago A 24 year old female, who has recently received methotrexate for a tubal pregnancy, presents to the ED with severe abdominal pain. What would be the PRIORITY nursing intervention? - Prepare to go to the OR 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, an enlarged abdomen, tachycardia and hypotension. The patient is mildly lethargic, however is cooperative with the ED staff. Immediate treatment for this child should include: - Antibiotics and IV Fluids When caring for a patient who has received a massive blood transfusion, monitoring which of the following lab results is a top priority? - Ionized Calcium Level What medication would you anticipate administering to a six month old having an active tonic-clonic seizure? - Ativan Patient presents to the ED with a snake bite that occurred 30 minutes ago. The snake was identified as a poisonous rattlesnake. What medication would you expect the physician to order for this patient? - CroFab Crotalidae Polyvalent Immune Fab (Ovine) A 26 year old male with a history of asthma presents to the ED with dyspnea, audible expiratory wheezes, substernal retractions, accessory muscle use, with BP-145/72, HR -26, RR-32, O2 Sat 88% on room air. What is the FIRST treatment of choice for this patient? - Give albuterol and atrovent nebulizer with oxygen