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During exercise, body temperature rises. Identify: Stimulus: Sensor: Control center: Effector:

A 45-year-old patient was admitted to the ICU following a severe traumatic brain injury (TBI). The healthcare team has conducted a neurological assessment and suspects brain death. The patient is on mechanical ventilation, and the family is asking if there is a chance of recovery. Which of the following assessment findings would confirm brain death? (Select all that apply.)

A 68-year-old patient presents with progressive dyspnea, orthopnea, and lower extremity edema. Vitals: BP 148/86 HR 104 RR 24 SpO₂ 93% on room air NT-proBNP is 3,500 pg/mL (normal: NT-proBNP < 900 pg/mL) Chest x-ray shows pulmonary vascular congestion and mild cardiomegaly Troponin is negative. The provider wants to confirm the diagnosis of heart failure and determine whether systolic or diastolic dysfunction is present. Which diagnostic study is most appropriate?

T. Burnet

A 70-year-old patient with septic shock is emergently intubated for worsening hypoxemia. Immediately after intubation, the nurse notes SpO₂ improves to 94%, but the patient becomes hypotensive (BP 84/50). Breath sounds are unequal, with markedly diminished sounds on the left side. Which actions should the nurse take immediately? (Select all that apply)

A 63-year-old with severe pneumonia is intubated after failing high-flow oxygen. Immediately after intubation the nurse notes the following findings: SpO₂ 89% Breath sounds absent on the left, present on the right End-tidal CO₂ waveform present Condensation visible in the tube Which action should the nurse perform first?

A healthcare organization is reviewing patient satisfaction data and discovers that older adults report feeling rushed during appointments and excluded from care discussions. The administration asks nurses for recommendations to improve outcomes. Which recommendation would most effectively reduce ageism in healthcare?

A client with asthma presents to the emergency department with worsening shortness of breath despite using a rescue inhaler twice in the past hour. Assessment findings include: Peak flow: 45% of personal best RR 30/min HR 118/min SpO₂ 90% on room air Speaking in short phrases Intercostal retractions present Which nursing action is the priority?

A 62-year-old with pneumonia is in severe respiratory distress. RR 40/min with accessory muscle use, SpO₂ 82% on a non-rebreather at 15 L/min, BP 100/56, HR 130. ABG Results: pH: 7.25 PaCO₂: 60 mmHg PaO₂: 46 mmHg HCO₃: 26 mEq/L. The provider states, “We need to intubate now.” Which nursing action is priority?

Mr. Smith is a 69 year old male patient with a history of heart failure who presents to the emergency department with a 3-day weight gain of 7 lb, worsening orthopnea, and fatigue. He reports needing three pillows to sleep and feeling “more short of breath than usual.” Vital signs: BP: 150/88 HR: 112 RR: 28 SpO₂: 90% on room air Which assessment finding most strongly indicates acute decompensated heart failure?