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A patient admitted to the ICU has been diagnosed with blunt abdominal trauma
following an altercation. Upon assessment, the patient reports severe pain. Further
assessment includes Cullen's sign, Grey Turner's sign, and rigid abdomen despite
nasogastric tube placement for decompression. The patient is most likely experiencing: -
✔✔Hemorrhage
A patient is experiencing a cardiogenic shock. The nurse understands the goal of
treatment focuses on increasing the: - ✔✔Cardiac Output
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: - ✔✔Monitor electrolyte levels and signs of fluid
depletion
The mechanically ventilated patient has increased respiratory rate ranging from 12-24
and oxygen saturation decreased to 90% despite oxygen increase to 100%. The patient
assessment reveals basilar crackles that were not previously present, high peak airway
pressures, and use of accessory muscles. Arterial blood gas reveals pH 7.50, pCO2 32,
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, and pO2 49. Chest X-ray results are significant for diffuse ground glass opacities. The
patient is likely experiencing: - ✔✔Acute respiratory distress syndrome
A patient is a victim of a motor vehicle accident and has closed chest trauma. As you
assess your patient, you notice that he has diminished breath sounds. Your patient is
most likely experiencing a: - ✔✔pneumothorax.
Which drug is given first to a patient with pulseless electrical activity (PEA)? -
✔✔Epinephrine
What would be the most effective intervention to be ordered to treat a
hemodynamically unstable patient with third-degree heart block? - ✔✔Transcutaneous
pacing
You are 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: -
✔✔Transcutaneous pacing
A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased
systolic pressure. This assessment is most consistent with: - ✔✔Cardiac tamponade
A mechanically ventilated patient from the OR is admitted to the ICU following an
MVA. The patient experienced head trauma and blunt trauma to the abdomen. You are
assessing this patient and notice that his heart rate is 130-145 per minute in sinus
tachycardia; his CVP is 2. The patient remains hypotensive despite the use of
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