Hesi Rn Exit Exam-mcphs-worcester-bsn Proctored Exam
An older adult client is admitted to the intensive care unit with severe abdominal pain, abdominal distention, and absent bowel sounds. The client has a history of smoking 2 packs of cigarettes daily for 50 years and is currently restless and confused. Vital signs are: temperature 96° F (35.6° C), heart rate 122 beats/minute, respiratory rate 36 breaths/minute, mean arterial pressure (MAP) 64 mm Hg and central venous pressure (CVP) 7 mm Hg. Serum laboratory findings include: hemoglobin 6.5 g/dL (65 g/L), platelets 60,000/mm³ (60 × 10⁹/L), and white blood cell count (WBC) 3,000/mm ³ (3 x 10 ⁹/L). Based on these findings, this client is at greatest risk for which pathophysiological condition? Reference Ranges: Platelets: [150,000 to 400,000/mm ³ (150 to 400 x 10⁹/L)] Hemoglobin: [14 to 18 g/dL (140 to 180 g/L)] White Blood Cell: [5000 to 10,000/mm3 (5 to 10 x 10⁹/L)] Mean Arterial Pressure: [70 to 105 mm Hg] Central Venous Pressure: [2 to 8 mm Hg]
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