A nurse is admitting a new patient through the emergency room after collapsing at home. The patient's girlfriend states that he has been really sick the last few days and complained of feeling dizzy just before losing consciousness.
The nurse takes the following vital signs: temperature of 38.7C, pulse of 121 beats per minute, blood pressure of 87/52, and respiratory rate of 32 breaths per minute. The nurse observes that he is diaphoretic. After running a CBC, the white blood cell count is 14,532. After stabilizing him, the nurse calls the ICU to prepare them to treat which of the following?
A. Shock
B. Sepsis
C. DIC
D. Heart failure
Question 2
A nurse is looking to improve the care of women presenting to the ED with atypical symptoms of a heart attack. The nurse finds that the average door-to-balloon rate in their hospital is 64 minutes. How does the nurse proceed?
A. No need to address thisthe door-to-balloon rate is well within the desired guidelines.
B. Perform a hospital and ED assessment to see where these patients are being held up.
C. Mandate EKGs for every patient who comes into the emergency room.
D. Create a separate wing of the emergency room especially for suspected cardiac patients.
NUrse :0
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