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Which medications would the nurse anticipate administering to the client that has moderate burns and is being admitted to the burn center?

The nurse is caring for a client whose hemodynamic monitoring indicates a blood pressure of 92/54 mm Hg, a pulse of 64 beats/min, and a pulmonary artery wedge pressure (PAWP) of 15 mmHg. Which intervention ordered by the health care provider should the nurse question?   Normal Values     PAWP 6-12 mmHG SVR 800-1200 dynes/sec/cm   CVP 2-8 mmHG CO 2.2-4L/MIN   MAP 65-105 mmHG ScvO2 60-80%   

A client who has fallen from a roof is transported to the emergency department by ambulance. The client was unconscious at the scene but is conscious on arrival and is triaged as ESI Level 2. What is the priority assessment the nurse includes during the primary survey of the client?

The nurse is caring for a client during the “Acute Phase” involving a major burn. The client consumed 2,000 calories daily at home prior to this injury. The nurse anticipates that the nutritional support for this client, who is in a hypermetabolic and catabolic state, would have which total caloric needs?

The nurse is assessing a client admitted with sepsis with the following vital signs: blood pressure 78/50 mm Hg, heart rate 120 beats/min, respirations 28 breaths/min, oral temperature of 102 F, and a right atrial pressure (RAP) or central venous pressure (CVP) of 1 mm Hg.   Normal Values     PAWP 6-12 mmHG SVR 800-1200 dynes/sec/cm   CVP 2-8 mmHG CO 2.2-4L/MIN   MAP 65-105 mmHG ScvO2 60-80%    What is the priority action should the nurse perform first?

A client with chronic obstructive pulmonary disease (COPD) arrives in the emergency department complaining of shortness of breath and dyspnea. Which assessment finding by the nurse is most important to report to the health care provider?

A client was admitted for a deep circumferential burn on the right lower extremity. Upon assessment, the nurse discovered that the right pedal pulse was no longer palpable and could not be located by Doppler. Which procedure does the nurse anticipate? 

What action should the nurse take first for a client who is orally intubated and receiving mechanical ventilation and who is anxious and “fighting” the ventilator?

While caring for a client with a pulmonary artery catheter, the nurse notes the pulmonary artery Wedge pressure (PAWP) to be significantly higher than previously recorded values. The nurse assesses respirations to be unlabored at 16 breaths/min, oxygen saturation of 98% on 3 L of oxygen via nasal cannula, and lungs clear to auscultation bilaterally. What is the priority nursing action?

Which data collected by the nurse caring for a client who has cardiogenic shock indicate that the client  may be developing multiple organ dysfunction syndrome (MODS)?