14. * which of the following rhythms will require immediate application of an external pacemaker?
Sinus brady with bp 70/30
15. a client with fluid
... [Show More] volume excess will exhibit which of the following s/s?
weak thready pulse
16. which of the following s/s and labs indicate a client has COPD? SATA
Barrel chest Clubbing fingers Pursed-lip breathing
17. * Following a Motor vehicle collision, a client is diagnosed with a flail chest. The nurse will anticipate which interventions? SATA
Endotracheal intubation
Surgical Stabilization of flail segment Administration of humidified oxygen
18. * A client is admitted to the ICU with a flail chest and placed on mechanical ventilator. Breath sounds are clear bilaterally. The nurse should monitor which of the following?
Pneumonia because the client is a high risk for acquiring an infection
19. Following a myocardial infarction, a client begins to feel lightheaded. The cardiac monitor shows a third-degree heart block. The nurse administers oxygen and anticipates which next treatment?
Administer atropine intravenously
20. * When caring for a client with a head injury, the nurse suspects increased intracranial pressure when the vital signs indicate Cushing’s triad. Which vitals did the nurse observe?
Widening pulse pressures, bradycardia and irregular respirations
21. * a nurse is assessing a client with DVT during the assessment the nurse will also assess for wotf side effects or complication of a DVT?
Pulmonary embolism
22. The nurse is caring for a client with a blood pressure of 70/30. Which medication does the nurse anticipate will be ordered?
Norepinephrine
23. STRIP: During an assessment of a client (on a cardiac monitor), the nurse observes a change in the client’s rhythm. Identify this rhythm and the appropriate initial treatment.
V-Fib, D-fib
24. * MATH: Mr. M is admitted to the hospital with a GI bleed and his physician orders a blood transfusion of PRBCs. Order: 1 unit PRBCs (520 ml) IV to infuse over 4 hours. Drop Factor: 10 gtt/ml. What is the infusion rate in gtt/min? 22 gtt/min
25. * Critically ill clients are in a hypermetabolic state. Which intervention will address this issue?
Parenteral nutrition
26. A client is learning about cholesterol. The nurse explains that the “good cholesterol” transports plasma cholesterol away from plaques and to the liver for metabolism. This type of cholesterol is called:
High-density lipoprotein
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