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Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient is admitted to the ICU for observation of his grade II splenic laceration. Which signs and symptoms suggest that the patient has had a delayed rupture of his splenic capsule and is now in hemorrhagic shock? a. BP, 110/70 mm Hg; HR, 120 beats/min; Hct, 42 mg/dL; UO, 40 mL/hr; skin that is pink, warm, and dry with capillary refill of 3 seconds b. BP, 90/70 mm Hg; HR, 140 beats/min; Hct, 21 mg/dL; UO, 10 m...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. The nurse is caring for a patient with type 1 diabetes who was admitted with complaints of increased lethargy. Serum laboratory values validate the diagnosis of diabetic ketoacidosis (DKA). Which medical intervention would the nurse expect to be ordered for this patient? a. Extensive hydration b. Oral hypoglycemic agents c. Large doses of IV insulin d. Limiting food and fluids ANS: A Rapid IV fluid replac...

Chapter 16: Neurologic Clinical Assessment and Diagnostic Procedures Chapter 17: Neurologic Disorders and Therapeutic Management Chapter 18: Kidney Clinical Assessment and Diagnostic Procedures Chapter 19: Kidney Disorders and Therapeutic Management Chapter 20: Gastrointestinal Clinical Assessment and Diagnostic Procedures

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient has been admitted with an intracerebral hemorrhage. A CT of the patient’s head reveals a large left parietal area bleed. Patient assessment includes T—98.7°F, P—98 beats/min and thready, R—8 breaths/min, and BP—168/100 mm Hg. Initial management of the patient includes which intervention? a. Placing the patient in the Trendelenburg position b. Administering an antihypertensive agent c. Initiat...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. The nurse is caring for a patient who has sustained a traumatic head injury. The practitioner has asked the nurse to test the patient’s oculocephalic reflex. Which findings indicate that the patient has an intact oculocephalic reflex? a. Patient’s eyes move in the same direction as the patient’s head when turned. b. Patient’s eyes move in the opposite direction as the patient’s head when turned. c. Pati...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. The nurse is caring for a patient with acute liver failure. What laboratory value would the nurse expect to decrease in this situation? a. Albumin b. Total bilirubin c. Alkaline phosphatase d. Aspartate aminotransferase ANS: A In a patient with hepatocellular injury (which occurs with acute liver failure), total bilirubin, alkaline phosphatase, aspartate aminotransferase, and alanine aminotransferase valu...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient is admitted with sepsis and acute kidney injury (AKI). The patient is started on continuous renal replacement therapy (CRRT). The nurse knows that fluid is removed each hour is charted as what on the CRRT flow sheet? a. Convection b. Diffusion c. Replacement fluid d. Ultrafiltrate ANS: D The fluid that is removed each hour is not called urine; it is known as ultrafiltrate. Typically, some of t...

Chapter 11: Cardiovascular Disorders Chapter 12: Cardiovascular Therapeutic Management Chapter 13: Pulmonary Clinical Assessment and Diagnostic Procedures Chapter 14: Pulmonary Disorders Chapter 15: Pulmonary Therapeutic Management

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient was admitted with acute kidney injury. Which urinalysis value reflects a decreased ability of the kidneys to concentrate urine? a. pH of 5.0 b. Specific gravity of 1.000 c. No casts d. Urine sodium of 140 mEq/24 hr ANS: B Specific gravity measures the density or weight of urine compared with that of distilled water. The normal urinary specific gravity is 1.005 to 1.025. For comparison, the speci...

Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. Adenosine is an antidysrhythmic agent that is given primarily what reason? a. To convert supraventricular tachycardias b. To suppress premature ventricular contractions (PVCs) c. To treat second- and third-degree AV blocks d. To coarsen ventricular fibrillation so that defibrillation is effective ANS: A Adenosine occurs endogenously in the body as a building block of adenosine triphosphate (ATP). Given in ...