Capstone Med Surg Exams| 300 Questions Solved 100% Correct With Verified Answers/ 2024 Guarantee Pass Guide

Capstone Med Surg Exams| 300 Questions Solved 100% Correct With Verified Answers/ 2024 Guarantee Pass Guide A patient with sepsis is experiencing an elevated temperature. Which medication would the nurse prepare to administer to this patient? {Ans: - Acetaminophen A patient, who weighs 90 Kg and had a 50% burn injury at 10:00 AM, arrives at the hospital at 12:00 noon. The paramedics report that the patient received 100cc/hr while in transit those 2 hours. Given this information, what will you set the pump to run at now? {Ans: - 1467 ml/hr A patient with multiple myeloma is having problems with nausea, constipation, headaches, and bone pain. Her morning serum calcium level is 13.2 mg/dL. The nurse's priority intervention is to: {Ans: - Administer Furosemide and normal saline (NS) at 200 mL/hour A patient rescued from a small house fire is brought to the emergency department. There is no burn injury to the skin, however laboratory results show an elevated carbon monoxide (CO) level. Which intervention would the nurse expect to implement? {Ans: - Give 100% oxygen by mask Why will the nurse monitor the SVO2 in a patient with septic shock? {Ans: - A SVO2 of 70 % shows that the body organs and tissues are extracting a normal amount of oxygen A nurse caring for a patient with a spinal cord injury experiencing hypotension and bradycardia, will plan to administer all of the following collaborative interventions EXCEPT: {Ans: - Apresoline When assessing the patient at risk for shock, the nurse finds the patient's blood pressure to be 20 mmHg lower than his recorded baseline. Of the following, which is the nurse's priority intervention? {Ans: - administer oxygen A patient is complaining of increased pain to the area of a third-degree burn covering the entire arm. The nurse suspects compartment syndrome. For which intervention would the nurse prepare the patient? {Ans: - A fasciotomy performed by the physician Which assessment finding indicates that an infusion of intravenous Epinephrine 4 mcg/min is effective in the treatment of a patient with anaphylactic shock? {Ans: - Reduced wheezing A patient is experiencing high levels of anxiety following a house fire. The nurse would administer which medication to help reduce the anxiety? {Ans: - Lorazepam A patient about to receive a bone marrow transplant is in strict isolation and expressing feelings of anxiety. Nursing measures appropriate to this situation include {Ans: - Playing music the patient enjoys and allowing photographs at the bedside During the acute phase of burn injury, the patient has the risk of developing complications. The nurse would assess for the presence of: {Ans: - Septic shock Which statement BEST describes the pathophysiology of multiple organ dysfunction syndrome (MODS) in a patient with sepsis? {Ans: - Endothelial dysfunction is a primary cause of MODS. The nurse is caring for a patient who was brought into the emergency department after being struck by lightning. This patient's injuries will most likely be to which body areas? {Ans: - heart and bones The nurse understands that administration of Heparin in response to microemboli formation in DIC is not helpful because: {Ans: - The patient uses up their clotting factors and is thus more at risk for bleeding Which laboratory finding should cause the nurse to suspect that a patient is developing hypovolemic shock? {Ans: - Metabolic acidosis validated by arterial blood gases. In order to meet the patient's nutritional needs during a critical illness with sepsis, the nurse knows that: {Ans: - Enteral feedings prevent translocation of bacteria from the gastrointestinal tract. The nurse is caring for a patient who was in a house fire. The patient currently has a hoarse voice and has soot in the sputum. Over the next 24 hours, the patient will experience all of the following as manifestations of a lower airway injury EXCEPT: {Ans: - chest pain The critical care nurse is concerned that a patient in the acute phase of a burn injury is experiencing metabolic changes because of which assessment findings? {Ans: - drop in body weight