ANSWERS
(43 Q&A)
(Detail Solutions and Resource for the test)
1. What assessment findings should he nurse
document in the electronic medical record for a client
who is experiencing autonomic dysreflexia after a
TANSWER-4 spinal cord injury
ANSWER-Severe hypertension, diaphroresis, and
flushing above the lesion
2. As the nurse is turning a client with a chest tube,
the chest tube becomes dislodged from the pleural
space. What action should the nurse take first?
ANSWER-Have the client exhale forcefully and tape 3
sides of a sterile gauze over the insertion site
3. The nurse plans to administer a low dose
prescription for dopamine(Intropin) to a client who is in
septic shock. Which physiological parameter should the
nurse use to evaluate a therapeutic response to
dopamine?
ANSWER-Urinary Output
4. The nurse assesses a male client postoperatively
who has an arterialline in the radial artery. Assessment
findings include pallor, parastesia, and slow capillary
CRITICAL CARE HESI