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Which of the following is most often associated with damage to the alveolar capillary membrane secondary to aspiration?
A nurse who is providing care to a patient with a hemorrhagic stroke receives an order to administer 3% Normal Saline IV. The nurse should recognize the goal of therapy is to create an
For a patient who sustained blunt renal trauma and a crush injury to the leg, monitoring should include observing for
A patient who survives near-drowning develops hypoxia-induced cerebral edema. Interventions should include
An older adult patient reports an inability to sleep due to staff waking the patient for frequent neurological assessments. In order to minimize sleep disruptions, the nurse should
A patient with a left ventricular assist device has been hospitalized for 5 days. A nurse notes anasarca and skin breakdown over multiple pressure points. When addressing the patient's nutritional needs, which of the following should the nurse consider?
A patient with a history of alcohol abuse has been admitted for progressive dyspnea and leg swelling. Assessment findings include:
BP155/90
HR85
CVP12 mm Hg
Which of the following tests will provide the most definitive diagnosis?
Which of the following diagnostic procedures best pinpoints the location, size, and origin of a cerebral aneurysm?
An unconscious patient presents with the following laboratory values:
Appropriate management of this patient should include
Laboratory values diagnostic for disseminated intravascular coagulation (DIC) include
A patient is intubated, is unable to follow simple commands, and has no history of alcohol abuse. The patient has become increasingly disoriented and confused over the past 24 hours. After assessment and treatment of pain, the best medication intervention for management is
A patient who sustained acute head trauma exhibited intermittent unconsciousness prior to admission. The patient is disoriented initially and exhibits rapid deterioration in neurological status shortly after admission. X-rays reveal a right temporal bone fracture, and a diagnosis of epidural hematoma is made. The deterioration in the patient's condition is most likely associated with
In a patient with a chest tube, an air leak in the pleural space is indicated by which of the following conditions in the water-seal chamber?
A patient who underwent bowel resection surgery due to small bowel rupture is tachycardic and hypotensive. A nurse calls the on-call surgical resident and reports the findings. No new orders are received. The nurse should continue to monitor the patient and
A patient is admitted for acute benzodiazepine overdose. Nursing interventions should include administration of
A nurse is precepting an experienced critical care nurse who is new to the facility. To develop the orientation plan, which of the following should the preceptor do first?
Assessment of a patient with a head injury reveals increased muscle tone and contractured positioning of the upper extremities. A nurse should
A patient is admitted with a femoral shaft fracture and an oblique fracture of three ribs on the right side. The patient suddenly reports shortness of breath. Assessment reveals new-onset headache, central and peripheral cyanosis, and petechiae of the neck and anterior chest wall. Available data are:
The nurse should suspect the development of
A patient is receiving continuous enteral feedings via jejunostomy tube. The patient develops mild, intermittent diarrhea. Which of the following actions is most appropriate?
A patient is admitted for sepsis secondary to pneumonia. The patient has received 2000 mL of plasmalyte and their BP remains 80/50. What should the nurse anticipate next for the patient?
A patient who is post repair of an abdominal aortic aneurysm should be monitored for which of the following complications?
The family of a patient with trauma believes that the patient is in pain and requests that a neighbor, a therapeutic touch practitioner, be allowed to see the patient. Unit policy allows visits by immediate family only. Which of the following is the most important consideration in a nurse's decision about facilitating the visit?
A patient with a hemorrhaging renal laceration has received two units of PRBCs and 500 mL of NS via IV bolus. Assessment reveals: BP 78/42; HR 148; UO 15 mL/hr; skin is cool and diaphoretic. While preparing the patient for emergency surgery, a nurse should administer
Which of the following is most indicative of successful treatment for salicylate poisoning?
An oncology patient presents with hematuria and bleeding from previous injection sites. Which diagnostic test result should the nurse review first?
A patient with a C5 spinal cord injury calls the nurse every 15 minutes with requests for juice, water, and repositioning. Which of the following is the nurse's best response?
Which of the following serum laboratory results is most concerning to a nurse who is caring for a patient with a Stage Ill pressure ulcer on the coccyx?
An older adult patient is admitted with acute exacerbation of congestive heart failure. An echocardiogram indicates that EF is unchanged at 50%. The patient is most likely experiencing
In order to meet the spiritual needs of critically ill patients and their families, which of the following should the nurse understand regarding chaplain services?
A patient has a linear skull fracture with multisystem trauma. The patient's vital signs are as follows:
BP 80/50
HR120
CVP2 mm Hg
Which of the following is the most appropriate explanation for this patient's condition?
A patient is admitted following a motor vehicle crash. A fluid challenge is initiated immediately after assessing a BP of 80/palpable. Fifteen minutes later,
vital signs are as follows:
BP 86/50
HR 150
RR 36
The most appropriate action should be to
A physician tries three times to insert a central line, then says, "I think I can get it this time." A nurse should
Which of the following should the nurse expect in a patient with papillary muscle dysfunction?
A nurse is caring for a patient with pulmonary fibrosis who is exhibiting shortness of breath, tachypnea, and feels a sense of impending doom. In order to relieve these symptoms, the nurse should anticipate an order for
A patient is receiving therapeutic hypothermia post-cardiac arrest. Which of the following orders should a nurse clarify?
TESTED 21 Nov 2024
Ventricular assist device
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Description automatically generated
Epidural hematoma
Abdominal aortic aneurysm
An x-ray of a human body
Description automatically generated
Salicylate poisoning
Spinal cord injury