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49. An intubated patient has propofol ordered at 20 mcg/kg/min. The concentration of propofol is 10 mg/mL. The patient’s weight is 209 lbs. How many milliliters per hour should the IV pump be programmed for? 

27.  When caring for a client who is experiencing the acute phase of injury to the thoracic spine (above T5).  Which collaborative nursing actions will the nurse include in the plan of care for the client?  Select all that apply

51.  The nurse is caring for a client who reports to the emergency department for an elevated blood pressure of 280/220, with a pounding headache chest and back pain, and blurred vision.  An Abdominal aortic aneurysm is suspected.  What additional findings would the nurse assess for in this client? (Select all that apply)  

25.  A young adult client who is in the rehabilitation phase 6 months after a severe face and neck burn tells the nurse, ”I’m sorry that I’m still alive. My life will never be normal again.” Which response by the nurse is most therapeutic?

20. After endotracheal suctioning, the nurse notes that the intracranial pressure (ICP) for a client with a traumatic head injury has increased from 14 to 17 mmHg. Which action should the nurse take first?

31. A client is being evaluated for a possible spinal cord injury due to a fall. Which finding by the nurse requires the most immediate action?

55. The nurse is admitting a client with a basal skull fracture. The nurse notes ecchymoses around both eyes and clear drainage from the client’s nose. Which admission order should the nurse question?

38.  Health promotion for a client with spinal cord injury include implementation of which measure? Counseling Education Encourage seat belts Encourage helmets Identify those that are at high-risk  

48. The nurse is caring for a client who has a head injury and fractured right arm after being assaulted. He is examined by the primary health care provider (PHCP) and the CT scan identifies an acute subdural hematoma. Which assessment information requires rapid action by the nurse?

50. While admitting a 42-yr-old client with a possible brain injury after a car accident to the emergency department (ED), the nurse obtains the following information. Which finding is most important to report to the health care provider?