With Complete Solutions well written
and explained ( verified 100% ) graded
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Which pharmacological agents are most likely to be used
in the treatment plan for a patient diagnosed with acute
respiratory failure that is intubated and on a mechanical
ventilator? SATA - ✔✔ANSWER✔✔-Anticoagulants
Bronchodilators
Anti-depressants
The nurse is caring for a patient with a right-sided chest
tube due to pneumothorax. Which interventions should the
nurse implement when caring for the patient? Select all
that apply. - ✔✔ANSWER✔✔-Assess the water seal
chamber every hour for signs of air leak
Assess the chest tube drainage system at least every hour
Include the chest tube drainage in the I&Os
Maintain suction pressure of chest tube at least 20cm
water pressure
Theophylline (albuterol nebulizer) - ✔✔ANSWER✔✔-
Bronchodilator used for treatment in anaphylactic shock
(distributive shock)
,The patient has the following clinical manifestations.
Which assessment finding alerts the nurse to the
probability of septic shock? - ✔✔ANSWER✔✔-Oozing of
blood at the IV site
The nurse recognizes which patient as being at highest
risk for septic shock? - ✔✔ANSWER✔✔-82 years-old with
leukemia receiving broad spectrum IV antibiotics via a
triple lumen central line
a patient is 2-day s/p colostomy and has the following:
(sinus tach EKG strip) - BP 85/55, RR 26, SpO2 91, with
labored breathing. Which of the following would be
appropriate orders? Select all that apply -
✔✔ANSWER✔✔-Increase IV fluids
Dopamine drip
PRBC
In monitoring a patient receiving a dopamine hydrochloride
drip for the treatment of shock, the nurse correlates which
symptom as an indication of a possible overdose of this
medication? - ✔✔ANSWER✔✔-Hypertension
A nurse notes that the cardiac output, systolic blood
pressure, and pulse pressure are beginning to decrease
rapidly in a patient being treated for septic shock. What
conclusion can the nurse draw from these changes? -
✔✔ANSWER✔✔-The client is in the hypodynamic phase
of septic shock
, A patient with the diagnosis of diabetic ketoacidosis is
being treated in the ED. Which of the following clinical
symptoms best represent acute diabetic complication? -
✔✔ANSWER✔✔-BUN 40, blood glucose 350 mg/dl,
serum osmolarity 330 mosm/L
A patient with SIADH is treated with water restriction and
administration of IV fluids. The nurse evaluates that
treatment has been effective when the patient
experienced: - ✔✔ANSWER✔✔-Increased urine output,
increased serum sodium, and decreased urine specific
gravity
A patient who has small cell lung cancer has developed
SIADH. Which findings indicate that the treatment being
received for SIADH is effective? Select all that apply. -
✔✔ANSWER✔✔-Decrease in body weight
A urine output of 1250 mL in 12 hours
Decrease in urine osmolarity
The patient admitted with HHS receive 15 units of Novolog
subcutaneous on admission by the nurse. One hour later
the patient complains of feeling weak and shaky. Which
priority intervention should be implemented by the nurse
first? - ✔✔ANSWER✔✔-Perform a bedside glucose check
The nurse is caring for patient on a medical floor. Which
patient should be assessed first? - ✔✔ANSWER✔✔-The
patient diagnosed with SIADH who is having nerve
twitching