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

A client has a high risk for sepsis-induced shock. Which of the following changes in the client's status should the nurse immediately report to the physician?

Your patient is a 54-year-old male who was admitted to the hospital with a severe wound infection in his leg. He is malnourished and in poor health before his arrival. His condition has continued to d

You are caring for a patient with circumferential burns on his right leg. You note that the capillary refill in his right big toenail is not as brisk as it was 2 hours ago and that the pedal and tibia

A patient who was an unrestrained driver in a high-speed, head-on motor vehicle collision presents with dyspnea, tachycardia, hypotension, jugular venous distension, tracheal deviation to the left, an

A client in a one-car rollover presents with multiple injuries. Prioritize the interventions in the correct sequence. 1. Assess for spontaneous respirations. 2. Give supplemental oxygen per mask. 3. I

The development of MODS is confirmed in a patient who manifests

Organ perfusion depends on mean arterial pressure. All are true regarding mean arterial pressure except:

The triage nurse has four clients arrive in the emergency department at the same time. List the order in which the RN will assess these clients from first priority to last priority. A 50-year-old fema

A 43 year old male presents to the ER following an MVC with paralysis of the arms and legs and loss of sensation below the shoulders. VS: BP 70/40; HR 48; RR 16; SpO2 81%. When anticipating treatment

A 48-year-old gardener is driven in by friends after sustaining a chain saw inury to his left arm 10 minutes ago. He complains of severe pain, and blood is dripping from a towel that is wrapped around

You are caring for a patient who sustained rib fractures after hitting the steering wheel of his car. He is spontaneously breathing and receiving oxygen via a face mask. His oxygen saturation is 95%.

Ten minutes following administration of an antibiotic, the nurse assesses a patient to have edematous lips, hoarseness, and expiratory stridor. Vital signs assessed by the nurse include blood pressure

Mr. Paul is a 39-year-old man who sustained a 30% partial burn. The affected areas include his right arm and hand and sections of his anterior and posterior trunk and neck. Mr. Paul was injured at 2:0

It is the summer season, and patients with signs and symptoms of heat-related illness present in the ED. Which patient needs attention first?

Why are narcotics given intravenously to manage pain during initial management of the patient with burns?

At the end of your shift, the ICU supervisor consults with you about which of the oncoming staff members is best to assign to care for a 54-year-old female with septic shock with the following vital s

A patient is admitted to the burn unit with burns of the head, neck, chest, and back following a garage fire. Upon admission to the unit, the nurse auscultates wheezes in the patient's lungs. One hour

A patient is admitted to the ED after being involved in a motor vehicle crash. The patient has multiple injuries. After establishing an airway and adequate ventilation, the ED team should prioritize w

You are precepting a new graduate nurse in the ICU. You are collaborating in the care of a patient who is receiving large volumes of crystalloid fluid to treat hypovolemic shock. In light of this inte

The client is admitted to the hospital with two of the systemic inflammatory response system (SIRS) variables: T: 95° F and high white blood cell count. What is the priority of care for the patien

A nurse in the ICU receives report from the nurse in the EC about a new patient being admitted with a neck injury he received while diving into a lake. The EC nurse reports that his blood pressure is

The nurse is caring for a patient in the ICU who has been diagnosed with multiple organ dysfunction syndrome (MODS). The nurse's plan of care should include which of the following interventions?

Which of the following statements about the pain management of a burn victim are true (select all that apply)?

The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Se

A critical care nurse is planning assessments in the knowledge that patients in shock are vulnerable to developing fluid replacement complications. For what signs and symptoms should the nurse monitor