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1 of 183
Term
The nurse caring for a pt whose progressing infection places her at
high risk for shock. What assessment finding would the nurse consider
a potential sign of shock?
a. elevated systolic BP
b. elevated mean arterial pressure (MAP)
c. shallow, rapid respirations
d. bradycardia
A B
C D
1/141
,2/141
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2 of 183
Term
A patient who is in the acute phase of recovery from a burn injury has
yet to experience adequate pain control. What pain management
strategy is most likely to meet this patients needs?
A) A patient-controlled analgesia (PCA) system
B) Oral opioids supplemented by NSAIDs
C) distraction & relaxation techniques supplemented by NSAIDs
D) a combination of benzodiazepines & topical anesthetics
A, B, D A
D B
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3 of 183
Term
An 82 y/o man is admitted for observation after a fall. Due to his age,
the nurse knows that the pt is at increased risk for what complication of
his injury?
3/141
, a. hematoma
b. skull fracture
c. embolus
d. stroke
B A
C D
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4 of 183
Term
The acute care nurse is providing care for an adult pt who is in
hypovolemic shock. The nurse recognizes that antidiuretic hormone
(ADH) plays a significant role in this health problem. What assessment
finding will the nurse likely observe r/t the role of the ADH during
hypovolemic shock?
a. increased hunger
b. decreased thirst
c. decreased urinary output
d. increased capillary perfusion
4/141