A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. This assessment is most consistent with: - Correct Answers: cardiac tamponade.
The nurse is caring for a patient with severe sepsis and third-degree heart block. The patient is hypotensive....
, A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure.
This assessment is most consistent with: - Correct Answers: cardiac tamponade.
The nurse is caring for a patient with severe sepsis and third-degree heart block. The patient is
hypotensive. The treatment for this life-threatening rhythm change includes: - Correct Answers:
transcutaneous pacing.
A patient is admitted to the ICU with suspected cervical spinal cord injury following a motor vehicle
accident. The most important nursing intervention for this patient is to: - Correct Answers: immobilize
his head.
The nurse assesses a patient's chest tube drainage 2 hours following thoracic surgery. The total drainage
in the system is 200 mL. The nurse knows that: - Correct Answers: this is an excessive amount of
drainage
The patient being admitted requires CRRT therapy. The nurse assigned to admit the patient has not been
educated on this therapy. The charge nurse adjusts the assignment so that a nurse with 3 years
experience in CRRT therapy is assigned to the patient. This type of
decision making is an example of: - Correct Answers: the synergy model for patient care.
The patient diagnosed with acute tubular necrosis (ATN) and experiencing severe dehydration, sepsis,
and pneumonia is now in the polyureic stage of ATN. The most important nursing action is to: - Correct
Answers: monitor electrolyte levels and signs of fluid depletion.
A patient has an elevated central venous pressure (CVP) measurement. The most likely reason is: -
Correct Answers: right heart failure.
Diabetes insipidus is usually treated with - Correct Answers: vasopressin.
Which physiologic effect is produced by alpha-1 receptors? - Correct Answers: Vasoconstriction
The patient experiencing an acute myocardial infarction (AMI) arrived on the unit an hour ago with TPA
infusing. Initially, the patient's neurologic exam was normal. The nurse assesses the patient and finds
him now disoriented. The next nursing action should be to: - Correct Answers: discontinue the TPA.
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