Adult Health III (Section 02) Sbe - Albany State University Proctored Exam

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?

A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

A nurse is monitoring the fluid replacement of a client who has sustained burns. The nurse should administer which of the following fluids in the first 24 hr following a burn injury?

The nurse is administering crystalloid fluid replacement to an adult who has experienced severe fluid volume loss. The nurse expects to replace how much normal saline as ordered for each liter of volu

A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?

A nurse is caring for a client who is at risk for shock. Which of the following findings is the earliest indicator that this complication is developing?

Which of the following clinical manifestations are suggestive of the systemic inflammatory response syndrome (SIRS)? Select all that apply.

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the p

The emergency nurse is admitting a patient experiencing a GI bleed who is believed to be in the compensatory stage of shock. What assessment finding would be most consistent with the early stage of co

An unresponsive 78-year-old patient is admitted to the emergency department in a coma during a summer heat wave. The patient's core temperature is 106.2° F (41.2° C), blood pressure (BP) 86/52

The nurse in trauma unit has received report on a client who has multiple injuries following a motor vehicle crash. Which of the following actions should the nurse plan to take first?

A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his lips are cyanotic. The nurse sho

A nurse in the emergency department is assessing a newly admitted client who has facial trauma. Which of the following assessments is the nurse's priority?

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

The nurse in the ICU is admitting a 57-year-old man with a diagnosis of possible septic shock. The nurse's assessment reveals that the patient has a normal blood pressure, increased heart rate, decrea

A client was the driver of a compact automobile that had an impact on the driver's side; he wasn't wearing a seat belt at the time of the crash. He sustained severe abdominal injuries, bilateral fract

A 20-year-old male client arrives at the emergency department. He is conscious, coherent, and ambulatory, but his shirt and pants are covered with blood. He and his hysterical friends are yelling and

The critical care nurse is preparing to initiate an infusion of a vasoactive medication to a patient in shock. The nurse knows that vasoactive medications are given in all forms of shock. What is the

You have just received the change-of-shift report in the burn unit. Which client requires the most immediate assessment or intervention?

An adult patient presents to the ED with a gunshot wound to the chest. VS: BP 90/50; HR 120; RR 24; SpO2 86%. When anticipating treatment for this patient, the nurse recognizes the primary goal of tre

A patient in septic shock has not responded to fluid resuscitation, as evidenced by a decreasing BP and cardiac output. The nurse anticipates the administration of

Norepinephrine (Levophed) has been ordered for the patient in hypovolemic shock. Before administering the drug, the nurse ensures that the

You have just admitted a patient to the ED following a fall from a first floor hotel balcony. The patient is 22 years old and smells of alcohol. The patient begins to vomit in the ED. Which of the fol

You are the RN caring for a multiple truama victim in the ICU. The patient's vital signs are as follows: BP: 100/60; HR: 110; RR 20. Calculate the mean arterial pressure.

The nurse is caring for a patient admitted to the burn unit with burns to 45% of the body. After 3 days, the nurse notes that the patients temperature is newly elevated at 100.2F (37.9C), and the pati