A patient has been treated for severe burns over 36% of the body. What assessment data obtained by the nurse indicates the patient may be experiencing septic shock? Select all that apply
A) White blood count (WBC) 7,200
B) Blood pressure 60/40
C) PaO2 72
D) Urine output <10 mL/hour
E) Blood pressure 140/76
B, C, D
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A nurse is caring for a client with systemic lupus erythematous (SLE) who is taking hydroxychloroquine (Plaquenil). When providing care for this client, the nurse monitors for which adverse effects associated with the prescribed medication?
A) Pulmonary fibrosis B) Cushingoid effects C) Retinal toxicity D) Renal toxicity
A nurse has been called to testify in a malpractice lawsuit. Which information should the attorney provide about the process of cross-examination?
1. Cross-examination allows the nurse to ask questions of the opposing counsel. 2. During this process opposing counsel will try to refute the nurse's testimony. 3. Cross-examination is a process to ensure that both attorneys question all witnesses. 4. This process allows opposing counsel to explain the meaning of the nurse's testimony.
An elderly client had surgery to repair a retinal detachment and is being discharged to home the next day. The nurse is concerned that the client will not be able to adjust to the decreased vision. The most appropriate action by the nurse is to
a. arrange admission to a long-term care facility. b. consult with a home health care agency for assistance at home. c. request the physician keep the client in the hospital for a couple more days. d. send the client home with instructions written in large type.
The nurse has conducted assessment of a patient who had surgery for a ruptured appendix 3 days ago. The patient complains of nausea, the abdomen is firm, and bowel sounds are rare in all quadrants
The nurse discusses these assessment findings with the health care provider due to concern regarding development of which condition? 1. Paralytic ileus 2. Dehydration 3. Intestinal obstruction 4. Hyperkalemia