The Nurse Is Caring for a Patient Admitted to the Emergency

question 1

Multiple Choice

The nurse is caring for a patient admitted to the emergency department in status epilepticus.Vital signs assessed by the nurse include blood pressure 160/100 mm Hg,heart rate 145 beats/min,respiratory rate 36 breaths/min,oxygen saturation (SpO₂) 96% on 100% supplemental oxygen by non-rebreather mask.After establishing an intravenous (IV) line,which order by the physician should the nurse implement first?

• A) Obtain stat serum electrolytes.
• B) Administer lorazepam (Ativan).
• C) Obtain stat portable chest x-ray.
• D) Administer phenytoin (Dilantin).

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Definitions:

Opacity

The quality of being opaque, not allowing light to pass through.

Sclera

The white outer layer of the eye, responsible for providing structure and protection.

Fibrous Tissue

Connective tissue comprised mainly of collagen fibers, providing structural support and flexibility to the body.

Eyeball

The spherical part of the eye that contains structures necessary for vision, including the iris, pupil, and retina.