Latest Update 2024/2025
a client with fluid volume excess will exhibit wotf s/s - ✔️✔️hypotention
critically ill clients are in a hyper metabolic state which intervention will address this issue -
✔️✔️parental nutrition
mr m is admitted to the hospital with a GI bleed and his physician orders a blood transfusion of red
packed blood cells order is 1 unit iv to infuse over 4 hrs drop factor 10ggt/ml what is the infusion
rate gtt/min - ✔️✔️22gtt/min
which one of the following medication may be given to treat a client who is hypertensive and
hemodynamically unstable - ✔️✔️norepinephrine
ANIA the fluid status of a client being treated for a burn during the emergent phase wotf is the best
indicator of adequate fluid resuscitation - ✔️✔️urine output of 30 ml/hr
when caring for a client with severe burns the nurse can expect to administer pain med via which
route - ✔️✔️iv
the icu nurse is CF of a client on a ventilator when the *low pressure alarm* goes off the nurses next
step is to assess for which of the following - ✔️✔️look for a disconnected ventilator tubing or leak
wotf rhythm will require immediate application of an external pacemaker - ✔️✔️a sinus
bradycardia with bp 70/30 strip
when caring for a client with a head injury the nurse suspects ICP when the VS indicate cushing's
triad which vitals did the nurse observe - ✔️✔️widening pulse pressure bradycardia and irregular
respiration's
emergent intervention to a client with burn injuries to the face and trunk may include wotf s/a -
✔️✔️inserting an indwelling urinary catheter
intubating the client
, starting an iv solution of ringers lactates
when caring for a critically ill client the nurse anticipates giving prophylactic meds to prevent wotf
complications - ✔️✔️stress ulcer
WCFC with respiratory disease the nurse notices sp02 drops down to 85% when ambulating in the
hallway wotf is the best plan for the nurse - ✔️✔️provide supplemental 02 when the client walks
and assess for improvement
respiratory distress caused by a wide spread inflammatory response damage to the alveoli and will
require intubation is called - ✔️✔️(ARDS) acute respiratory distress syndrome
a client has been diagnosed with a pulmonary embolism which diagnostics and treatment will the
nurse anticipate will be ordered s/a - ✔️✔️d-dimer
thrombolytics
ct angiogram
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
following a motor vehicle collision a client is diagnosed with a flail chest the nurse will anticipate
which intervention s/a - ✔️✔️endotracheal intubation
surgical stabilization of flail segment
administration of humidified 02
pulse operative complications after pacemaker insertion will include wotf s/a - ✔️✔️pneumothorax
myocardial damage