Healthstream Test | 96 Questions| Correct Answers| Verified 100%

A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. This assessment is most consistent with: - ANSWERScardiac tamponade. The nurse is caring for a patient with severe sepsis and third-degree heart block. The patient is hypotensive. The treatment for this life-threatening rhythm change includes: - ANSWERStranscutaneous pacing. A patient is admitted to the ICU with suspected cervical spinal cord injury following a motor vehicle accident. The most important nursing intervention for this patient is to: - ANSWERSimmobilize his head. The nurse assesses a patient's chest tube drainage 2 hours following thoracic surgery. The total drainage in the system is 200 mL. The nurse knows that: - ANSWERSthis is an excessive amount of drainage The patient being admitted requires CRRT therapy. The nurse assigned to admit the patient has not been educated on this therapy. The charge nurse adjusts the assignment so that a nurse with 3 years experience in CRRT therapy is assigned to the patient. This type of decision making is an example of: - ANSWERSthe synergy model for patient care. The patient diagnosed with acute tubular necrosis (ATN) and experiencing severe dehydration, sepsis, and pneumonia is now in the polyureic stage of ATN. The most important nursing action is to: - ANSWERSmonitor electrolyte levels and signs of fluid depletion. A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is: - ANSWERSright heart failure.