Pleural effusion is an excess of fluid trapped in the intrapleural space of the lungs. The emergency nurse should suspect that the patient has developed Vital signs are: BP 109/70 mm Hg, HR 110/min, and RR 38/min. 308-309Īssessment of a patient with severe acute pancreatitis reveals ascites and diminished breath sounds in the right lower lobe. Sheehy's Manual of Emergency Care, 6th ed., p. 442Ĭore Curriculum for Critical Care Nursing, 6th ed., p. Sheehy's Emergency Nursing, Principles and Practice, 5th ed., p. Fever is a finding in patients with a pulmonary embolism, but it is not common. Crackles and hemoptysis are likely to be associated pulmonary edema. Dyspnea is the most common sign of pulmonary embolism. With pulmonary embolus, common signs and symptoms include shortness of breath, tachypnea, tachycardia, and sudden-onset pleuritic chest pain that increases with respirations. Which of the following is the most common finding in pulmonary embolism? Assessment of breathing includes evaluating breath sounds.Įmergency Nursing Core Curriculum, 6th ed., p. In assessing for systemic reactions, ABC are a priority. Patients with insect bites are at risk for anaphylactic reactions. evaluate inspiratory and expiratory breath sounds.Įvaluate inspiratory and expiratory breath sounds. check the pulses proximal to the wound.ĭ. The wound is erythematous, swollen, and indurated. ![]() 291Ī patient comes to the emergency department 30 minutes after an insect bite to the leg. In this situation, the principal mechanism of infection is direct contact with the infected vesicles during the process of vaginal birth.Įmergency Care of Women, Tintinalli, 4th ed., p. The greatest risk to the fetus occurs when overt HSV infection is present at the time of delivery. "I know that this first episode will last only 4 or 5 days." "If I get pregnant, I can pass the disease to my baby." "My boyfriend will not get this if he uses a condom." ![]() The patient understands discharge instructions if she states, 487Ī patient is being discharged with a presumptive diagnosis of primary herpes simplex viral infection. Pinworms are the most common cause of anal pruritis in children.Įmergency Care of Women, Tintinalli, 4th ed., p. The most common symptom of a patient who has a pinworm infection is Click here to study/print these flashcards.Ĭreate your own flash cards! Sign up here.
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