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You arrive on the scene of a single vehicle crash where a pickup collided with a tree. The vehicle is upright on its wheels with front end damage noted. You find a 54 year old male patient sitting in the driver’s seat. The patient opens his eyes to painful stimulation, resonds with unintelligible speech, and withdraws from painful stimulus. The patient is breathing spontaneously at a rate of 18, radial pulse is present and skin is cool and clammy. You notice minor bleeding from an abrasion on the patients forehead, but no other bleeding is noted. You notice that the patient has a medical alert bracelet that shows “Diabetic”. You assess pupils and notice that they are 6mm and sluggish bilaterally. What is the GCS score of your patient and what is the most likely cause of his current state?  

Which of the following are included in Bentham’s Seven Attributes to Weigh Pleasure or Pain under Act Utilitarianism?

Order: Dexamethasone 5.5 mg IV q6h. Available: (Use label below.) dex lab.jpg [BLANK-1] How many mL will the nurse administer per dose?  [BLANK-2] How many mL will the nurse administer in 24 hours?   [BLANK-3] Can the nurse use the remaining medication in the vial to administer another dose? (Yes or No) Express final answers to the nearest tenth, when applicable. 

The nurse is caring for a client who is currently receiving IV heparin. The client weighs 203 lb. The most recent aPTT is 85 seconds. Use the Weight-Based Heparin Protocol to answer the questions that follow. Round converted weight to the nearest tenth. heparin protocol box.jpg   Based on the most recent aPTT, what is the new infusion rate in mL/hr? Express final answer to the nearest whole number. [BLANK-1]

A client weighs 186 lb. Heparin infusion 20,000 units in 1,000 mL 0.9% sodium chloride. Order: Bolus with heparin sodium at 50 units/kg, then initiate drip at 15 units/kg/hr. Round converted weight to the nearest tenth. [BLANK-1] What is the bolus dosage? [BLANK-2] What is the infusion rate (initial), in units/hr? [BLANK-3] What is the infusion rate in mL/hr? Express all final answers to the nearest whole number.

Order: Amphotericin B 55.5 mg IV every day Available: Use the labels below to answer the questions that follow. amph b lab 1.jpg  amp b lab 2 prep.jpg   [BLANK-1] How many milliliters will the nurse administer (initial dose)? [BLANK-2] What is the vial strength? Express final answer(s) to the nearest tenth, when indicated.

Order: Diazepam (Valium) Intensol 10 mg p.o. t.i.d Available: (Use label below.) diazepam.jpg   [BLANK-1] What is the dosage strength?   [BLANK-2] How many mL will the nurse administer in 24 hours? 

Indicate how the nurse should prepare the following using full-strength normal saline (0.9%) (solute) and sterile water (solvent). Irrigate foot wound with 0.24 L of 1/4 strength daily. [BLANK-1] How many milliliters of solvent will the nurse use? [BLANK-2] How many milliliters of solute will the nurse use?

A client’s intake for the morning is the following: (1 glass = 6 oz) Client’s intake: 500 mL of intravenous fluid 3 ½ glasses of water 12 oz can of Sprite 6 oz glass of milk How many mL of fluid will the nurse record as input for the morning? [BLANK-1]

Which file would come first when using the alphabetical filing system and the indexing rules?