Critical care EAQ Questions and Answers Updated 2024/2025 with complete solutions.

The client is in atrial fibrillation. Which information should the nurse consider about atrial fibrillation when planning care for this client? 1 A loss of atrial kick 2 No physiologic changes 3 Increased cardiac output 4 Decreased risk of pulmonary embolism - A loss of atrial kick What is a common metabolic cause of hypothermia? 1 Seizure 2 Dehydration 3 Hypoglycemia 4 Hyperthyroidism - Hypoglycemia The nurse is caring for a client who is admitted to the birthing unit with a diagnosis of abruptio placentae. Which complication associated with a placental abruption should the nurse carefully monitor this client for? 1 Cerebral hemorrhage2 Pulmonary edema 3 Impending seizures 4 Hypovolemic shock - Hypovolemic shock With abruptio placentae, uterine bleeding can result in massive internal hemorrhage, causing hypovolemic shock. A cerebral hemorrhage may occur with a dangerously high blood pressure; there is no information indicating the presence of a dangerously high blood pressure. Pulmonary edema may occur with severe preeclampsia or heart disease, and seizures are associated with severe preeclampsia; there is no information indicating the presence of these conditions. A client has undergone nasal hypophysectomy surgery. During post-operative care, which finding indicates cerebrospinal leakage? 1 Dry mouth 2 Rigidity of neck muscles 3 Fall in blood pressure upon standing 4 A yellow edge around nasal discharge - A yellow edge around nasal discharge Nasal hypophysectomy is a surgical procedure performed to treat hyperpituitarism due to pituitary gland tumors. During postoperative care and follow-up, the appearance of light-yellow at the edge of otherwise clear nasal discharge in the dressing indicates leakage of cerebrospinal fluid (CSF). This is called the "halo sign" and is indicative of a CSF leak. Dry mouth after nasal hypophysectomy is normal because the client breathes through the mouth due to the nasal packing. Neck rigidity could be an indication of infection, such as meningitis following the surgery. A fall in blood pressure upon standing is called orthostatic hypotension and is a side effect of bromocriptine.The nurse is caring for a client with a diagnosis of necrotizing fasciitis. Which is the priority concern of the nurse when caring for this client? 1 Fluid volume 2 Skin integrity 3 Physical mobility 4 Urinary elimination - Skin integrity Necrotizing fasciitis destroys subcutaneous tissue and fascia and predisposes the client to infection and sepsis. Although fluid volume and physical mobility are important, they are not the primary concern at this time. Necrotizing fasciitis is a problem of the integumentary, not the urinary, system. After an acute coronary syndrome a client begins a supervised, progressive jogging regimen and asks the nurse how to tell whether it is helping. What is the best response by the nurse? 1 "Intermittent claudication will be reduced." 2 "Your breathing will become regular and shallow." 3 "Perspiration will be less when you run, and you'll use less energy." 4 "You will be able to run progressively longer distances before tiring." - "You will be able to run progressively longer distances before tiring."