An immunocompromised older adult has developed a urinary tract infection and the care team recognizes the need to prevent an exacerbation of the patient's infection that could result in urosepsis and septic shock. What action should the nurse perform to reduce the patient's risk of septic shock?

A nurse in an emergency department is preparing to care for a client who is being brought in with multiple system trauma following a motor vehicle crash. Which of the following should the nurse identify as the priority focus of care?

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

A nursing home patient is brought to the ED with complaints of fever and generalized weakness. Skin is warm, dry and flushed. The patient is mildly agitated - an abnormal situation for this patient. Vital signs are HR 110/min, respirations 26/min, and temperature 101.8° F (28.8° C). A Foley catheter is draining cloudy yellow urine. You suspect this patient to have which of the following?

A nurse assessing a client determines that he is in the compensatory stage of shock. Which of the following findings support this conclusion?

The healthcare provider is caring for a patient with a diagnosis of hemorrhagic pancreatitis. The patient's central venous pressure (CVP) reading is 2, blood pressure is 90/50 mmHg, lung sounds are clear, and jugular veins are flat. Which of these actions is most appropriate for the nurse to take?

To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?

A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?

A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?

A nurse in an emergency room is caring for the client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?

Which client would be most at risk for developing disseminated intravascular coagulation (DIC)?

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

A patient who has been involved in a motor-vehicle crash is admitted to the ED with cool, clammy skin, tachycardia, and hypotension. All of these orders are written. Which one will the nurse act on first?

A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?

Administering Dopamine (Inotropin) at 2 mcg/kg/minute results in:

Ampicillin 350 mg IM daily is ordered for your patient. After reconstitution with 3.5 ml of sterile water, the vial of Ampicillin contains a total of 500 mg/ml. How many milliliters will your patient receive per day?

An adult weighing 194 lb is brought to the Emergency Department after sustaining a thermal injury. Burns are partial and full thickness over 38% of the body surface area. According to the Parkland formula using 4 mL, what would this client's fluid requirements be for the first 24 hours after injury?

The physician orders furosemide 67 mg IV push STAT for edema. Your vial of furosemide contains 40 mg in 4 ml. How many milliliters will you administer?

A nurse in the ICU is planning the care of a patient who is being treated for shock. Which of the following statements best describes the pathophysiology of this patient's health problem?

A patient is experiencing respiratory insufficiency and cannot maintain spontaneous respirations. The nurse suspects that the physician will perform which of the following actions?

Shock can result from all of the following except:

A client with a spinal cord injury is exhibiting poikilothermia. Which of the following would be appropriate to include in this client's plan of care?

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

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