Author: Anonymous

The client admitted after a fall from the roof is being monitored for adequate cerebral perfusion pressure (CPP). His current blood pressure is 113/42 and his intracranial pressure (ICP) is 26 after 1 bottle of mannitol being administered.  The nurse would report to the provider the current CPP is _______. (round to a whole number) 

Match the type of precaution with the patient requiring the precautions. 

A nurse provides care for a client who is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory values would be expected? 

The nurse received the following report:  S) Mr Raymond, a 48-year-old man, comes in complaining of severe abdominal pain 10 out of 10 B) He has a six-month history of DMII with poor control. He states he hasn’t eaten for 12+ hours which initially made the pain decrease slightly then it returned. He states he drinks a six-pack or 2 after work each evening.  A) He is alert and oriented times 4, no neuro deficits, lungs are clear with bilateral breath sounds. Vital signs are T 101.8F, HR 126, RR 26, BP 119/64. He has bruising noted around the umbilicus and abdominal tenderness especially in the left upper quadrant. What orders does the nurse anticipate? Select all that apply

A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical spinal cord injury. Which of the following signs and symptoms would the nurse anticipate for this client? (Select all that apply.)

The nurse is caring for a client following a traumatic head injury.  The patient’s current vital signs are: T99.2F  HR 108  RR 24  BP 155/80.  The ICP is 26. No seizure activity is noted. Which of the following orders would the nurse carry out?

A client comes to the urgent care with complaints of abdominal pain radiating to his right shoulder.  When asked what activity preceded the pain the client stated he was just watching TV after having dinner out at a restaurant. When asked what he ate, he states, “A steak, baked potato with butter, salad, and a couple of glasses of wine”.  The vital signs are T 98.4F (36.9C), HR 99, RR 20, BP 138/72. The nurse would anticipate which of the following diagnostic labs or procedures to be ordered? 

The nurse is assessing a client admitted to the medical-surgical unit on the night shift. The nurse observes that the client has an enlarged, protruding abdomen and distended veins on the abdominal wall.  Upon physical examination, the nurse detects a shock wave of fluid during palpation and dullness to percussion.  The nurse notes the client is confused and exhibits asterixis. The nurse would anticipate the provider to order what intervention? 

A young man comes to the provider office with complaints of muscle weakness. lack of appetite, and weight loss. The nurse notes dark skin pigmentation as well. What would the nurse anticipate ordered by the provider?  Select all that apply

A client has been admitted to ICU with sepsis due to cellulitis of the leg. The provider ordered Ampicillin 600mg/75mL to run over 45 minutes. No pump can be found to infuse this and the tubing has a drop factor of 10 gtts/mL. How many gtts/min will the nurse infuse the medication at? (round to the nearest whole number)