N480 Final Overview Quizzes- Distinction

N480 Final Overview Patient arrives at emergency dep with deep partial thickness burns RR; 26 bpm, nursing interventions SATA - IV LR - Admin morphine IV - Admin tetanus prophylaxis as ordered Low pressure alarm sound of vent, nurse assess and tries to determine the cause. Unsuccessful at determining and takes what action - Ventilate the client manually Client admitted to ED with chest trauma. S/S that support pneumothorax - Absent breath sounds - Tachypnea Nurse assessing cranial nerves, what could detect potential problem with cranial nerve 2 - Snellen chart Nurse performing assessment and finds client has cool clammy skin P: 130, urine output of 20 ml per hour - Decreased cardiac output and decreased tissue perfusion Vitals of client with cardiac disease BP 104/76, P 53, RR 16. Atropine administered. What is therapeutic effect of med - Pulse rate increases to 76 bpm Older adult client comes to ED with no appetite, N/V, on digitalis for more than a year, nursing action - Obtain ECG, K+, and digoxin levels Nurse admin atiplase tpa with pt with di