A patient with peritonitis develops a temperature of 103°F (39.4°C), is restless, has blood pressure of 85/45 mmHg and has a urinary output of 76 mL in 8 hours. For which health problem should the nurse plan care for this patient?
A. Inflammation
B. Bowel dysfunction
C. Hypovolemic shock
D. Third spacing
Answer: C
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The nurse is providing care to a visually impaired client who is scheduled for a colonoscopy. The client requires a bowel prep prior to the diagnostic test. Which approach will the nurse use to facilitate the client's understanding of the material?
A) Use layman's term and ask the client to describe the procedure afterwards. B) Explanation the procedure to the client using medical terms for clarity. C) Focus on intonation when teaching the client. D) Speak slowly to the client.
The nurse is caring for a client in the neurologic intensive care unit. The nurse is noting from the assessment findings that the client is lacking a connection because motor impulses are interrupted from the brain to the spinal cord
It also appears that the client lacks sensory impulses from the peripheral sensory neurons to the brain. Which area has the deficit? A) Midbrain B) Medulla oblongata C) Pons D) Subarachnoid space
You are caring for a patient at risk for an addisonian crisis. What signs and symptoms would you monitor for? (Mark all that apply.)
A) Extreme strength B) Pallor C) Rapid respiratory rate D) Bounding pulse E) Hypotension
The multidisciplinary team would identify which goals for initial collaborative management of a patient with an acute coronary event (ACS)? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Limit the size of infarction by decreasing oxygen demands. 2. Maximize coronary artery blood flow. 3. Strengthen the heart by increasing activity as soon as possible. 4. Balance oxygen demand with supply. 5. Prevent dysrhythmias with prophylactic antidysrhythmic medications.