EXAM 3 CARDIOVASCULAR AND
RESPIRATORY DISORDERS APPLICATION
2026 COMPLETE Q AND A STUDY PACK
◉ Drag the potential interventions the nurse should take
Answer: POTENTIAL INTERVENTION Initiate droplet precautions,
pad side rails
Appropriate intervention: assess neuro status every 15, darken the
room, set up for lumbar puncture
◉ The ICU nurse has reviewed all nurses notes and recieved
prescriptions which prescriptions should the nurse perform
immediately
Answer: Initiate droplet precautions
Hourly neuro checks
IV NS at 125 ml/ Hr
Ceftriaxone 2g
Initiate seizure precautions
, ◉ Nurses have performed the interventions as prescribed by the
HCP for the client over the past 24 hours. For each assessment
finding click to specify if the finding indicates the condition has
improved has not changed, or has declined
Answer: Improved- T 101
No change- photophobia + kernigs sign
Declined- BP 92/54, Urinary output 490mL over 1 hour, serum
sodium 147 mEq
◉ 17 year old primigravida at 32 weeks of gestation
Answer: Potential complication: Renal failure, Abruptio placentae
Complications client at increased risk for developing : Intrauterine
growth restriction
(IUGR)
◉ The nurse determines that
Answer: PREECLAMPSIA is the priority complication as evidenced
by BP GREATER THAN 160/110, PROTEINURIA, SEVERE FRONTAL
HEADACHE and BLURRED VISION