Author: Anonymous

A 40-year-old male client who was burned was admitted under your care. Assessment reveals he has crackles, respiratory rate of 40/min, and is coughing up blood-tinged sputum. What action will the nurse take first?

A nurse working in the intensive care unit (ICU) is caring for a patient in the refractory stage of shock. The nurse correlates which clinical manifestations to this stage of shock? 

The nurse provides discharge instructions for a patient who experienced traumatic amputation of the leg below the knee. Which statement by the patient indicates the need for further teaching? 

The nurse is caring for a client with acute renal failure who is in the diuretic phase after one week of therapy. During this phase, the nurse closely assess the client for: 

The nurse monitors for which finding in the client admitted in neurogenic shock? 

The nurse is caring for a client with acute renal failure who is in the diuretic phase after one week of therapy. During this phase, the nurse closely assess the client for: 

Hemoptysis may be present in the client with a pulmonary embolism because of which of the following reasons?

A nurse is caring for a client who is being treated for acute myocardial infarction. The nurse knows that some clients with acute MI go on to develop cardiogenic shock, which can be fatal. Based on the nurse’s understanding of this condition, the nurse knows to look for which of the following signs of cardiogenic shock?

The nurse is caring for a client who had a total hip replacement four (4) days ago. Which assessment requires the nurse’s immediate attention?

A mother states she is very angry with the physician who diagnosed her child with leukemia. Which statement helps the nurse understand this mother’s reaction?