The nurse is reviewing the chart of a patient scheduled to undergo a percutaneous liver biopsy in 2 hours. Which of the following characteristics, if present in the patient’s chart, would prompt the nurse to contact the provider immediately?

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The 5-day-old 38-week-gestation neonate was born to a 25-year-old primigravida woman after a pregnancy and vacuum-assisted delivery complicated by gestational diabetes, large for gestational age fetus, and shoulder dystocia. The neonate required vigorous stimulation and positive pressure ventilation. Apgar scores were 3 and 8 at 1 and 5 minutes of life. At the pediatrician’s appointment after discharge, the neonate is found to have a large bruise at the back of the head that was sustained during birth and eyes glued shut with yellow, mucopurulent discharge. A gram stain of the drainage reveals gram-negative cocci in pairs. The mother states, “No matter what I do, it keeps coming back. I’ve used warm compresses and washed it away.” Additionally, the mother reports the infant is breastfeeding well with 4 wet diapers and 1 stool per day. The nurse informs the provider of the assessment and requests which order first?  

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 10

The nurse is reviewing the arterial blood gas results of a healthy 12-year-old patient in the emergency department in acute respiratory distress due to smoke inhalation during a house fire. Which lab value does the nurse anticipate from this patient?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 8

The nurse assessing the 4-month-old brought to the emergency room for poor feeding and signs of dehydration notes the infant seems to be looking down and sclera is visible superior to the iris. The nurse reports this assessment to the provider and receives orders for care. Which order does the nurse question? 

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 9

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