Which patient below with increased intracranial pressure is experiencing Cushing’s Triad? A patient with the following:
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A client with a diagnosis of addisonian crisis is being admi…
A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which finding(s) will the interprofessional health care team focus on? Select all that apply.
A nurse is educating a patient who is participating in a car…
A nurse is educating a patient who is participating in a cardiac rehabilitation program following coronary artery bypass graft (CABG) surgery. Which of the following topics are commonly included in cardiac rehab education? Select all that apply
Which of the following would be indicated in the initial tre…
Which of the following would be indicated in the initial treatment for a client with diabetic ketoacidosis (DKA)?
The critical care nurse is caring for an older adult diagnos…
The critical care nurse is caring for an older adult diagnosed with an epidural hematoma. The following assessment data are collected: opens eyes to pain, flexes abnormally to stimuli, and has no verbal response. The vitals signs are: BP 189/64, RR 10, temperature 98.8 orally, HR 58. What is the priority nursing intervention?
The nurse is admitting a client to the healthcare facility w…
The nurse is admitting a client to the healthcare facility who is in the late stages of pancreatic cancer. In order to comply with the Patient Self-Determination Act, the nurse should:
A client with increased intracranial pressure (ICP) is admit…
A client with increased intracranial pressure (ICP) is admitted to the neuro-intensive care unit. Which nursing interventions are appropriate for managing increased ICP? Select all that apply.
A patient with a closed head injury is receiving mechanical…
A patient with a closed head injury is receiving mechanical ventilation and has a PaCO₂ level of 52 mmHg (normal range: 35-45 mmHg) along with elevated intracranial pressure (ICP). As the nurse, you understand that this PaCO₂ level will?
The neuro intensive care nurse is caring for a client diagno…
The neuro intensive care nurse is caring for a client diagnosed with a contrecoup traumatic brain injury who is being mechanically ventilated. To maintain intracranial pressure within acceptable levels, the most appropriate respiratory goal is to:
The 39-year old female client diagnosed with pancreatic canc…
The 39-year old female client diagnosed with pancreatic cancer has an advance directive (AD) stipulating no cardiopulmonary resuscitation. Which intervention should the registered nurse implement first?