Blog

A 42-year-old male firefighter is admitted to the burn unit with mixed partial and full-thickness burns covering 45% of his total body surface area (TBSA), including his face, neck, chest, and both arms. He also has a suspected inhalation injury. As the lead nurse, you are tasked with developing a comprehensive care plan that addresses the complex needs of this patient during the first 72 hours post-injury. Which of the following combinations of interventions best demonstrates an integrated approach to his care, addressing fluid resuscitation, respiratory management, wound care, pain control, and monitoring for potential complications?

An increase in the size of the heart, or a heart chamber, due to a stretching of the muscle fibers in the walls of the chamber is called

44. An intraaortic balloon pump (IABP) is being used for a patient who is in cardiogenic shock. Which data indicate to the nurse that the goals of treatment with the IABP are being met?

14. What reason would an infant with coarctation of the aorta receive prostaglandin E1?

52. A nurse is caring for a patient in cardiogenic shock after an acute myocardial infarction. Which assessment findings would be most concerning? 

39. A client with severe sepsis has a serum lactate level of 55.9 mg/dL (6.2 mmol/L). The client weighs 205 lbs. The health care provider prescribed normal saline to infuse at 30 mL/kg in 3 hours. What rate should the infusion pump be set to infuse the prescribed amount of fluid? (Record your answer to the nearest whole number) 

60. Which interventions should be implemented to prevent a hemolytic transfusion reaction? (Select all that apply)

17. Connor is a 15-month-old male brought in by his mother for a 6-day history of extreme irritability, red eyes, swelling of hands and feet, and fever. Conner was admitted to the pediatric unit with a diagnosis of Kawasaki Disease. Subjective Data:Mom states pt. has been extremely irritableRefuses to drink, states his mouth hurtsFever for 6 daysObjective Data:Weight: 22kgVital Signs: T 104°F (40°C), P 110, R 30, BP 102/60Non-purulent conjunctitis bilaterallyExtremities edematous with erythema noted to palms and solesGeneralized erythematous rash noted to trunkEnlarged cervical lymph nodes on exam Conner is scheduled for an echocardiogram. The mother asked “what will the test do”? Which explanation by the nurse is best?     

34. A client with suspected neurogenic shock after a diving accident has arrived in the emergency department with a cervical collar is in place. Which actions should the nurse take? (Select all that apply.)

A client is admitted in a manic episode of bipolar I disorder. Which nursing intervention should be most therapeutic for this client?