30 week pregnant patients bp is 94/62, HR 92
with fetal heart rate of 124
is this normal and why? - correct answer-normal vital signs in pregnancy
resting heart rate increases by 10-20 beats in pregnancy with a small decrease in systolic
BP and larg decrease in diastolic BP due to peripheral resistance
normal fetal heart rate is 120 to 160
a nurse calls in sick after a traumatic event but then returns
what is a positive sign of resilience? - correct answer-talking about taking the emergency
nursing certification examination
a patient fell 2 weeks ago striking his head and was diagnosed with a small subdural
hematoma
he has become anxious restless and shaky, vomited twice during the night telling the nurse
he cant sleep because a young child kept coming into his room
whats the likely cause for these signs and symptoms? - correct answer-alcohol withdrawal
a common delayed condition because simptoms are difficult to identify early. signs include
autonomic hyperactivity, hand tremors, nausea, vomiting, psychomotor agitation, anxiety,
insomnia, hallucinations or seizures
a patient with a spinal cord injury at C5 requires what to be closely observed and why? -
correct answer-maintain adequate respiratory status
C3 to C5 injuries can cause loss of phrenic nerve function resulting in a paralyzed diaphram
and inability to breath
across the room observation in initial assessment provides the opportunity to do what? -
correct answer-reprioritise circulation before airway and breathing
across the room observation is done before the primary survey to rapidly assess the need to
reprioritise circulation before airway or breathing if there is uncontrolled external bleeding
following a bomb explosion, fragmentation injuries from the bomb or objects in the
environment are examples of which phase of injury? - correct answer-secondary
flying debris projectiles and fragments causing lacerations and penetrating injuries