1) When caring for a patient who has septic shock, which assessment finding is most
important for the nurse to report to the care provider?
2)
... [Show More] Calculate the mean arterial pressure (MAP) in mmHg for a patient with a blood
pressure of 84/46mmHg. (Record answer to the nearest whole number)
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3) The emergency department nurse is assessing a client who has sustained a blunt injury
to the chest wall. Which finding would indicate the presence of pneumothorax in this
client?
4) The nurse is assessing the respiratory status of a client who has suffered a fractured
rib. The nurse should expect to note which finding?
5) A client with a chest injury has suffered a flail chest. The nurse assesses the client for
which most distinctive sign of flail chest?
6) A client has been admitted with chest trauma after a motor vehicle crash and has
undergone subsequent intubation. The nurse checks the client when the highpressure
alarm on the ventilator sounds and notes that the client has an absence of breath
sounds in the right upper lobe of the lung. The nurse immediately assesses for other
signs of which condition?
7) A burn patient is brought into the emergency department with the following burns:
half of the front torso, entire left arm, front of left leg. The nurse should record the
TBSA burns as.
8) The client, who is one-day postoperative following chest surgery is having difficulty
breathing, has bilateral rales, and is confused and restless. Which intervention should
the nurse implement first?
9) The intensive care unit (ICU) nurse is caring for a client on a ventilator who is
exhibiting respiratory distress. The ventilator alarms are going off. Which interventions
should the nurse implement first?
10)The client in the intensive care unit is on a ventilator. Which interventions should the
nurse implement? (select all that apply)
11)Which actions are essential for the nurse caring for a mechanically ventilated to
prevent ventilator-acquired pneumonia (VAP) (Select all that apply)?
Continued.......... [Show Less]