Adult Health Proctored Exam

A client with a head injury has an arterial blood pressure of 108/54 mmHg and an intracranial pressure of 15 mmHg. Which action by the nurse is appropriate?

The physician prescribes intravenous mannitol for a client with a head injury. The nurse monitors the client for which expected therapeutic outcome of this drug?

The nurse notes that a client with a head injury and periorbital ecchymosis has clear nasal drainage. Which nursing action is most appropriate upon this finding?

The most reliable prognostic factor in the rehabilitation potential of head injured clients is

Which of the following assessment findings would indicate an increasing intracranial pressure (ICP) in a client with head trauma?

When assessing a client with a spinal cord injury, the nurse notes areflexia below the level of injury. What should the nurse suspect?

A client with spinal cord injury is ready to be discharged home. What are the potential complications that should be monitored for in this client?

Your client is at home in northern Texas during the month of August. The average daytime temperature is 103 degrees F. What advice should you give your client with a T4 spinal cord injury in this situ

A client with a history of a T2 spinal cord injury tells the nurse, "I feel awful today. My head is throbbing and I feel sick to my stomach." Which action should the nurse take first?

A client has a spinal cord injury (SCI) following a motor vehicle crash. The nurse recognizes that the pathophysiology of secondary SCI includes

A client with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which finding by the nurse will help confirm a diagnosis of neurogenic shock?

A trauma client is admitted with tracheal deviation to the left side of the chest and neck. His respirations are 30 breaths/minute, heart rate is 120, and BP is 90/60. Based on your nursing knowledge

The nurse is assessing an adult client following a motor vehicle accident. The nurse observes that the client has an increased use of accessory muscles and is reporting chest pain and shortness of bre

Which client should the nurse prioritize as needing emergent treatment assuming no other injuries are present except the ones outlined below?

A male client with multiple injuries is brought to the ED by ambulance. His airway is stabilized and he is breathing on his own. The ED nurse does not see any active bleeding, but should suspect inter

The nurse is assigned to the care of a client in the ICU who is in cardiogenic shock. What priority nursing intervention is necessary to conserve myocardial energy and decrease workload of the heart?

The emergency nurse is admitting a client diagnosed with Gl bleeding who is believed to be in the compensatory stage of shock. What assessment finding would be most consistent with the early stage of

A client who is in shock is receiving norepinephrine in addition to IV fluids. What principle should influence the nurse's care planning during the administration of a vasoactive drug?

A critical care nurse is aware of similarities and differences between the treatments for different types of shock. What intervention is used in all types of shock?

Which of the following types of shock is associated with bradycardia, vasodilation and hypotension?

A client has been diagnosed with shock secondary to an antigen-antibody reaction. What collaborative intravenous intervention has the highest priority?

The main purpose for administering blood to the massively hemorrhaging client is to

A client's low hemoglobin level has necessitated transfusion of packed red blood cells. Prior to administration, which action should the nurse perform?

Organ failure associated with multiple organ dysfunction syndrome (MODS) usually begins in which organ?

Which of the following statements best describes disseminated intravascular coagulation (DIC)?