QUESTIONS AND ANSWERS LATEST
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The nurse is caring for a client who has sustained multiple injuries from a motor vehicle accident. The
nurse realizes that the client will have a release of stress hormones that are useful for all of the
following EXCEPT: - ANS-Preventing ingestion of food
The nurse is planning care for a client diagnosed with acute respiratory distress syndrome (ARDS)?
Which of the following is not included in the management of this disorder? - ANS-Promoting urine
output
The nurse, caring for a client diagnosed with shock, realizes that the stage in which the body attempts to
remedy the problem by initiating the homeostatic mechanism would be? - ANS-Compensatory stage
A client experiences a bee sting, complains of difficulty breathing, and shows sign of hypoxia and
hypotension. The nurse realizes these are signs of anaphylactic shock, and she should do which of the
following first? - ANS-Give epinephrine intravenously or via endotracheal tube
, A client is diagnosed with failure of the left ventricle to provide adequate delivery of oxygen to the body
tissues due to a weakened forward pumping function of the heart. The nurse realizes this client is
experiencing: - ANS-cardiogenic shock
To assess if the renal system in a client diagnosed with multisystem failure is functioning properly, the
nurse would expect to see urine output of: - ANS-30 mL per hour
The nurse realizes that a client, diagnosed with neurogenic shock, is at risk for developing: - ANS-deep
vein thrombosis
A client is diagnosed with septic shock. The nurse realizes that the major cause of this type of shock is: -
ANS-gram-negative bacteria
A client is diagnosed with cardiogenic shock. The nurse should plan interventions to address which of
the following potential complications of this disorder? - ANS-Myocardial infarction
The nurse is concerned that a client will develop neurogenic shock when which of the following is
assessed? - ANS-Spinal cord injury at T1
The nurse is planning care for a client diagnosed with disseminated intravascular coagulation. Which of
the following should be included in this plan of care? - ANS-Avoid intramuscular injections
A firefighter is brought to the emergency department with complaints of headache, weakness, shortness
of breath, cough, and chest pain. During the assessment of this client, the nurse realizes the client
should be evaluated for: - ANS-Cyanide poisoning
The nurse is assessing a client for the acute phase of the inflammatory immune response. Which of the
following are considered cardinal signs of this response? (Select all that apply.) - ANS-Rubor, Tumor,
Dolor, Calor
Which of the following symptoms would suggest to the nurse that a client is experiencing symptoms of
pheochromocytoma? (Select all that apply.) - ANS-Severe headache. Palpitations, Profuse sweating
A client is receiving diagnostic tests to determine the presence of a malignant thyroid lesion. Which of
the following are symptoms that are usually associated with a malignant thyroid? (Select all that apply.)