STUDY GUIDE COMPLETE QUESTIONS AND
ANSWERS UPDATED ACCURATE
GUARANTEED PASS
●● Drag the potential interventions the nurse should take.
Answer: POTENTIAL INTERVENTION Initiate droplet precautions,
pad side rails
Appropriate intervention: assess neuro status every 15, darken the room,
set up for lumbar puncture
●● The ICU nurse has reviewed all nurses notes and recieved
prescriptions which prescriptions should the nurse perform immediately.
Answer: Initiate droplet precautions
Hourly neuro checks
IV NS at 125 ml/ Hr
Ceftriaxone 2g
Initiate seizure precautions
●● Nurses have performed the interventions as prescribed by the HCP
for the client over the past 24 hours. For each assessment finding click to
, specify if the finding indicates the condition has improved has not
changed, or has declined.
Answer: Improved- T 101
No change- photophobia + kernigs sign
Declined- BP 92/54, Urinary output 490mL over 1 hour, serum sodium
147 mEq
●● 17 year old primigravida at 32 weeks of gestation.
Answer: Potential complication: Renal failure, Abruptio placentae
Complications client at increased risk for developing : Intrauterine
growth restriction
(IUGR)
●● The nurse determines that.
Answer: PREECLAMPSIA is the priority complication as evidenced by
BP GREATER THAN 160/110, PROTEINURIA, SEVERE FRONTAL
HEADACHE and BLURRED VISION
●● 58 year old male in the emergency department with reports of "pain
on my chest" drag each potential client problem supported by Data to the
box on the right..