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The nurse is caring for the client recovering from a craniotomy. Which assessment finding would warrant immediate collaboration with the provider?

The nurse is evaluating the effectiveness of fluid resuscitation on the client who experienced a severe burn 12 hours ago. Which of the following assessments indicate that adequate fluid replacement is being achieved?

When assessing a client for hypoxemia, the nurse recognizes that an early sign of hypoxemia on the neurological system is which of the following?

The nurse is caring for a client with severe hypertension. The nurse will assess this client for which of  the following manifestations of hypertensive crisis? Select all that apply

The nurse anticipates which of the following assessment findings related to fluid volume deficit on a client who has had 4 days of nausea, vomiting and fever? Select all that apply.

The nurse is caring for a client with hypovolemic shock who has been receiving large amounts of IV fluids. Which of the following would be most important for the nurse to perform to evaluate the effectiveness of intravenous fluid therapy?

The nurse has established a goal to maintain ICP within the normal range for a client who had a craniotomy 12 hours ago. Which of the following interventions would be inappropriate?

The nurse is caring for the client who is in septic shock, newly intubated and on a ventilator. The assessment findings are: Mean Arterial Pressure (MAP) = 58 mm Hg, sinus tachycardia with frequent PVC’s on telemetry. Pulmonary Artery Catheter readings: Central Venous Pressure (CVP)= 1 mmHg, Pulmonary Artery (PA) pressure=12/6 mmHg, Systemic Vascular Resistance (SVR) of 670 dynes/sec/cm-5. Which of the following treatments would the nurse anticipate being ordered by the provider? Select all that apply.

The nurse is caring for a client who will be undergoing arterial line placement in the left wrist. Which of the following interventions is the most important to complete prior to insertion of an arterial line?

The nurse is caring for the client with a Nasogastric Tube (NG) to low-intermittent suction, that just put out copious amounts of coffee-ground drainage. Which of the following interventions should the nurse perform first?