Author: Anonymous

A nurse is caring for four clients who might be brain dead. Which client would best meet the criteria to allow assessment of brain death?

After assessing an older adult client with a burn wound, the nurse documents the findings as follows: Vital Signs Laboratory Results Wound Assessment Heart rate: 110 beats/minBlood pressure: 112/68 mm HgRespiratory rate: 20 breaths/minOxygen saturation: 94%Pain: 3/10 Red blood cell count: 5,000,000/mm3White blood cell count: 10,000/mm3Platelet count: 200,000/mm3 Left chest burn wound, 3 cm ´ 2.5 cm ´ 0.5 cm, wound bed pale, surrounding tissues with edema present Based on the documented data, which action should the nurse take next?

A student is caring for a client who suffered massive blood loss after trauma. How does the student correlate the blood loss with the client’s mean arterial pressure (MAP)?

A nurse is caring for a client who has lung cancer and is dying. Which prescription should the nurse question?

An emergency room nurse assesses a client who has been raped. With which health care team member should the nurse collaborate when planning this client’s care?

A nurse teaches a client being treated for a full-thickness burn. Which statement should the nurse include in this client’s discharge teaching?

An unresponsive 79-yr-old patient is admitted to the emergency department (ED) during a summer heat wave. The patient’s core temperature is 105.4° F (40.8° C), blood pressure (BP) is 88/50 mm Hg, and pulse is 112 beats/min. The nurse will plan to

A client is in the clinic for a follow-up visit after a moderate traumatic brain injury. The client’s spouse is very frustrated, stating that the client’s personality has changed and the situation is intolerable. What action by the nurse is best?

A nurse cares for a dying client. Which manifestation of dying should the nurse treat first?

A nurse assesses a client with a pelvic fracture. Which assessment finding should the nurse identify as a complication of this injury?