NUR 2755 / NUR2755 Exam 2 (Latest 2024 / 2025): Multidimensional Care IV / MDC 4 - Rasmussen

NUR 2755 Multidimensional Care IV MDC4 Exam 2 Which assessment is important for the nurse to evaluate whether the treatment of a client with anaphylactic shock has been effective? a. Pulse rate b. Orientation c. Blood pressure d. Oxygen saturation Correct Answer: d. Oxygen saturation Burn client is brought into the emergency d epartment with the following burns: half of the front torso, entire left arm, front of the left leg. The nurse should record the total body surface area burn as? A. 27% B. 35% C. 20% D. 40% Correct Answer: A. 27% Nurse is planning care for an adult client who sustained severe burn injuries. Which interventions should the nurse include in the plan of care? SATA A. limit visitors in the clients room when immunosuppressed B. encourage raw foods to improve exposure to nat ural flora C. offer high calorie, high protein foods or supplemental feeding D. ambulate 2 or 3 times a day and progress in length each time E. apply compression dressings before the graft heals to prevent scar formation Correct Answer: A. limit visitors i n the clients room when immunosuppressed C. offer high calorie, high protein foods or supplemental feeding Nurse is caring for a client in shock. The nurse understands the client sympathetic nervous system is still correctly attempting to compensate when the following is assessed? A. Client has decreased peripheral pulses B. Client has an increase thirst C. Client has decreased heart rate D. Client has an increased respiratory rate E. Client has widening pulse pressure Correct Answer: D. Client has an increased respiratory rate E. Client has widening pulse pressure Client is treated in the emergency depart ment for shock of unknown etiology. The first action by the nurse is which of the following? A. Administer oxygen B. Attach a cardiac monitor C. Obtain a blood pressure D. Check level of consciousness Correct Answer: A. Administer oxygen Client has been diagnosed with pulmonary embolism. Which diagnostics and treatments does the nurse anticipate will be ordered? SATA A. D dimer B. Thrombolytics C. Atropine D. Nitroglycerin E. CT angiogram Correct Answer: A. D dimer B. Thrombolytics E. CT angiogram