B TRESTCA I, CASWAS
o 2D BRI i v
Exam 3
Started: Mar 6 at 9:26am
Quiz Instructions
Question 1 2 pts
The nurse is caring for an adult client who was
recently admitted with a head injury following a
motor vehicle crash. One hour ago, the client’s
vital signs (VS) were temperature (T): 98.6° F;
pulse (P): 110; respiratory rate (RR): 26;
pressure (BP): 128/68 mm Hg. Which of the
following findings is a priority for the nurse to
follow up?
™~ p. 120: RR: 26: BP: 110/70 mm Hg.
: ¢«
~ P: 90; RR: 32; 8P: 130/72 mm Hg.
Q P: 56; RR: 14; BP; 166/52 mm Hg.
-~
e P: 64: RR: 30; BP: 148/78 mm Hg.
, Started: Mar 6 at 7:26am
Quiz Instructions
Question 2 2 pts
The nurse is caring client who sustained
a
cervical and head es and is at risk for
i developing increased intracranial pressure
(ICP). Which of the following actions should the
nurse take when caring for this client?
Q
= Elevate the foot of the client’s bed.
~
| % . .
Perform passive range of metion (ROM) to the
client’s hips and knees
~
@) A g
SN
Notify the charge nurse if the client's PaCO,
decreases from 39 to 35 mm Hg.
@ Use a cervical collar at all times.
Next *
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- » Quizzes > Exam : : 45y ;
Exam 3
Started: Mar 6 at 9:26am
Quiz Instructions
Question 3 2 pts
The nurse is car for a client who was
admitted 12 t Irs o with a traumatic brain
injury (TBI), Is intubated, and is at risk for
developing increas intracranial pressure
interventions
A
{ICP). Which of
should the nurse include in the client's plan of
o " Iy
Place the client in a Trendelenburg position to
increase venous return
0 Maintain normothermia with antipyretics if a
4 fever develops
~
L oy .
Administer hypatonic IV fluids to prevent
dehydration
m
= Encourage coughing and deep breathing
gxercises.
, Exam 3
Started: Mar 6 at 9:26am
Quiz Instructions
Question 4 2 pts
The nurse working in the intensive care unit
(ICU) is assessing a client who sustained a
basilar skull fracture 24 hours ago. It is most
important to follow up with the primary health
o care provider (PHCP) if the client
~
) "
“ has bruises under the eyes.
O . :
reports having a persistent headache since
admission i
2 % 2 .
=" hecomes irritable and restless.
,—2 is unable to name the state capital.
o 2D BRI i v
Exam 3
Started: Mar 6 at 9:26am
Quiz Instructions
Question 1 2 pts
The nurse is caring for an adult client who was
recently admitted with a head injury following a
motor vehicle crash. One hour ago, the client’s
vital signs (VS) were temperature (T): 98.6° F;
pulse (P): 110; respiratory rate (RR): 26;
pressure (BP): 128/68 mm Hg. Which of the
following findings is a priority for the nurse to
follow up?
™~ p. 120: RR: 26: BP: 110/70 mm Hg.
: ¢«
~ P: 90; RR: 32; 8P: 130/72 mm Hg.
Q P: 56; RR: 14; BP; 166/52 mm Hg.
-~
e P: 64: RR: 30; BP: 148/78 mm Hg.
, Started: Mar 6 at 7:26am
Quiz Instructions
Question 2 2 pts
The nurse is caring client who sustained
a
cervical and head es and is at risk for
i developing increased intracranial pressure
(ICP). Which of the following actions should the
nurse take when caring for this client?
Q
= Elevate the foot of the client’s bed.
~
| % . .
Perform passive range of metion (ROM) to the
client’s hips and knees
~
@) A g
SN
Notify the charge nurse if the client's PaCO,
decreases from 39 to 35 mm Hg.
@ Use a cervical collar at all times.
Next *
b v 2
e -
\ AN
J\,L,(\fiyg
P {
ol
LAV
q
AAne
A0 .S
ol
Ut 00 YO
ey
) );/.\,\,7\ YOI\ |
LY
\ (1 aa
/\ v\‘\\\\r\ \\
WA
\/x
WA
\"»\;’\
WU
e
\
WS p\»\\){\fim‘\% i
\
, e C/ngwbr oliont care AlHnnes
or =
e e
_ Hotd provide a gUi el
— hojd Plexion onthe hips
o — | wi- .vists
environment
- » Quizzes > Exam : : 45y ;
Exam 3
Started: Mar 6 at 9:26am
Quiz Instructions
Question 3 2 pts
The nurse is car for a client who was
admitted 12 t Irs o with a traumatic brain
injury (TBI), Is intubated, and is at risk for
developing increas intracranial pressure
interventions
A
{ICP). Which of
should the nurse include in the client's plan of
o " Iy
Place the client in a Trendelenburg position to
increase venous return
0 Maintain normothermia with antipyretics if a
4 fever develops
~
L oy .
Administer hypatonic IV fluids to prevent
dehydration
m
= Encourage coughing and deep breathing
gxercises.
, Exam 3
Started: Mar 6 at 9:26am
Quiz Instructions
Question 4 2 pts
The nurse working in the intensive care unit
(ICU) is assessing a client who sustained a
basilar skull fracture 24 hours ago. It is most
important to follow up with the primary health
o care provider (PHCP) if the client
~
) "
“ has bruises under the eyes.
O . :
reports having a persistent headache since
admission i
2 % 2 .
=" hecomes irritable and restless.
,—2 is unable to name the state capital.
