The nurse is assessing a client who was admitted 24 hours ago to the critical care unit following a motorcycle collision. which client finding requires intervention by the nurse to reduce the risk of complications related to ICP
A. Presence of core body temperature of approx 97 F
B. Infusion of mannitol (Osmitrol) despite serum osmolarity of 258 mOsm/L
C. Change of PaCO2 to 55mm Hg following ventilator setting adjustments
D. Prescription for propofol IV through the left subclavian IV
Ans: C. Change of PaCO2 to 55mm Hg following ventilator setting adjustments
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A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to
A) administer epinephrine. B) administer oxygen therapy. C) provide an emesis basin. D) assess the patient's psychosocial status.
A pregnant woman is at 38 weeks of gestation. She wants to know if any signs indicate "labor is getting closer to starting." The nurse informs the woman that which of the following is a sign that labor may begin soon?
a. Weight gain of 1.5 to 2 kg (3 to 4 lb) b. Increase in fundal height c. Urinary retention d. Surge of energy
Which statement by a client diagnosed with premenstrual syndrome indicates that further health teaching is needed?
a. "I will not eat chips or pickles." b. "I'll eat only three meals per day." c. "Drinking alcohol makes me more depressed." d. "Coffee and chocolate can make me more irritable and nervous."
A nurse has completed a teaching session for parents about "baby-proofing" the home. Which statements made by the parents indicate an understanding of the teaching? Select all that apply
a. "We will put plastic fillers in all electrical plugs.". b. "We will place poisonous substances in a high cupboard.". c. "We will place a gate at the top and bottom of stairways.". d. "We will keep our household hot water heater at 130 degrees.". e. "We will remove front knobs from the stove.".