A patient in septic shock is treated with a dopamine (Intropin) infusion of 10 mcg/kg/min. Which of the following indicates that this intervention has been effective?
A patient is admitted with Gl bleeding. During the assessment, the nurse notes the patient to be tremulous, anxious, and startles every time he is touched by the nurse. Which of the following is the most pertinent part of the patient's history to obtain?
During the monthly code team review, it is noted that regulators have been consistently missing from the O2 tanks. Which of the following is a nurse's best action?
A consistent prolongation of the P-R interval beyond 0.20 sec indicates which of the following types of AV block?
A patient with acute renal failure has a serum potassium level of 7.2 mEq/L. The most appropriate immediate intervention for this patient is
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 terminally ill patient is deteriorating. The patient's family states, "We don't want him to suffer any more." The most appropriate response is
A patient with end-stage COPD who has failed multiple mechanical ventilation weaning trials communicates a desire to discontinue mechanical ventilation and be extubated. Which of the following is a nurse's best response?
A patient develops the dysrhythmia shown below:
Blood pressure is 83/40. The patient is pale, diaphoretic, lethargic, and disoriented. The most appropriate treatment is
Which of the following assessment findings would be found in a patient with pulmonary hypertension?
A patient with type 1 diabetes admitted for DKA for the third time in 6 months reports not following the medication plan prescribed by the endocrinologist.
Which of the following strategies should a nurse use first?
To maintain adequate pain control in a post-surgical patient addicted to heroin, a nurse should plan to
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?
An oncology patient presents with hematuria and bleeding from previous injection sites. Which diagnostic test result should the nurse review first?
A patient is admitted for hypertensive crisis. As a nurse is starting a peripheral IV, the patient appears increasingly anxious as the catheter is about to be inserted. The patient threatens to harm the nurse if the catheter insertion causes pain. Which of the following is the nurse's best action?
A patient is admitted with anaphylactic shock secondary to a blood transfusion. The patient's spouse asks the nurse to explain how blood can cause a low blood pressure. The nurse responds that with anaphylactic shock the
A nurse admits a patient awaiting surgery for an unstable pelvic fracture following a fall in which no other injuries were sustained. The nurse should prioritize
Laboratory values diagnostic for disseminated intravascular coagulation (DIC) 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
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?
A patient presents with the following hemodynamics:
MAP 40 mm Hg
PAD6 mm Hg
PAOP5 mm Hg
CI1.8 L/min/m2
SVR875 dynes/sec/cm-5
Which of the following is essential in the plan of care?
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
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 with history of hypothyroidism is admitted with severe confusion and nonpitting edema. The nurse should anticipate which order?
A patient with an acute anterior wall MI presents with an S3 gallop and the following values:
Which drug therapy would be most appropriate for this patient?
When caring for a patient with septic shock secondary to osteomyelitis, which of the following laboratory tests will best monitor response to therapy?
Which of the following should the nurse expect in a patient with papillary muscle dysfunction?
A patient is receiving therapeutic hypothermia post-cardiac arrest. Which of the following orders should a nurse clarify?
A patient is experiencing lower left quadrant pain with guarding, as well as abdominal distention and rigidity. KUB reveals free air in the abdominal
cavity. Vital signs are:
BP76/40
HR130
RR32
T101.7° F (38.7°C)
A nurse would suspect
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 with cardiogenic shock for several days has been managed aggressively with vasopressor and inotrope therapies. Which of the following indicates organ dysfunction from hypoperfusion?
For a patient who sustained blunt renal trauma and a crush injury to the leg, monitoring should include observing for
In a patient with status asthmaticus, which of the following indicate a deteriorating condition?
Which of the following is a sign of splenic injury and diaphragmatic irritation?
The family member of a patient who is receiving mechanical ventilation is to be taught suctioning. When developing a teaching plan, the nurse should first
A patient is recovering from CABG surgery. On postoperative day 3, the patient's laboratory values indicate thrombocytopenia and elevated liver function tests. The patient is scheduled for hemodialysis today. A nurse notifies the physician of the abnormal laboratory values. The nurse should next anticipate an order to