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Critical care hesi practice questions answers
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1. What assessment findings should he nurse document in the electronic medical record for a client who is experiencing autonomic dysreflexia after a TANSWER-4 spinal cord injury ANSWER-Severe hypertension, diaphroresis, and flushing above the lesion 2. As the nurse is turning a client with a chest tube, the chest tube becomes dislodged from the pleural space. What action should the nurse take first? ANSWER-Have the client exhale forcefully and tape 3 sides of a sterile gauze over the insertion site 3. The nurse plans to administer a low dose prescription for dopamine (Intropin) to a client who is in septic shock. Which physiological parameter should the nurse use to evaluate a therapeutic response to dopamine? ANSWER-Urinary Output
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