Blog

A client’s burn wound is being treated with enzymatic debridement. At this time the nurse would assess the client for

When monitoring a client diagnosed with acute respiratory distress syndrome (ARDS), which assessment finding should the nurse prioritize as the most critical indicator of disease progression?

Which short-term goal is appropriate for a client with dependent personality disorder experiencing excessive dependency needs?

The nurse will monitor for clinical manifestations of hypercapnia in which of the following 

A prescription for formula requires 90 mL Enfamil given orally every 4 hours. What is the total volume of Enfamil to be administered in a 24 hour period? Record answer to the whole number. [BLANK-1]

A young woman who was a recent victim of sexual assault is brought into the emergency department by a friend. Which of the following is the priority nursing intervention?

The nurse has been administering 0.9% normal saline intravenous fluids as part of early goal-directed therapy protocols in a patient with severe sepsis. To evaluate the effectiveness of fluid therapy, which physiological parameters would be most important for the nurse to assess?

A client with facial burns asks the nurse if he will ever look the same. Which response is best for the nurse to provide?

A patient who has just been admitted with septic shock has a BP of 70/46, pulse 136, respirations 32, temperature 104.0° F, and blood glucose 246 mg/dl. Which of the following interventions is the priority?

A nurse hears the high pressure alarm on a ventilator for a patient with recent chest trauma. The settings on the ventilator are: Mode A/C, rate 14, 650 Vt, FiO2 40%, and PEEP 10. What should the nurse assess to ascertain the potential cause of the alarm? Select all that apply.