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ADVANCED MED SURG II RN CRITICAL ALTERATION IN
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PERFUSION ASSESSSMENT 2023-2024 EXAM QUESTIONS
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AND CORRECT ANSWERS
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A nurse is teaching a group of students about septic shock.
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Which of the following information should the nurse include in
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the teaching? - CORRECT ANSWER-Septic shock is a result of the
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release of inflammatory cytokines.
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A nurse is teaching a new graduate nurse about the Sequential
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Organ Failure Assessment (SOFA) scoring system. Which of the
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following does the SOFA score assess? - CORRECT ANSWER-A
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SOFA score assesses the risk of mortality in relation to multiple
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organ dysfunction syndrome (MODS)
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A nurse is providing care for several clients. Which if the
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following clients is at greatest risk for cardiac tamponade? -
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CORRECT ANSWER-A client undergoing central line insertion for
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parental nutrition.
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A nurse is providing care to a client who has a severe infection
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and has developed disseminated intravascular coagulation
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(DIC). Which of the following interventions should the nurse
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include in their care of the client? - CORRECT ANSWER-Treat the
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underlying infection with an antibiotic.
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A nurse is planning care for a client who has been admitted for
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evaluation of their heart valves. the nurse should
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anticipate the client will undergo which of the following tests? -
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CORRECT ANSWER-Echocardiogram
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A nurse is reviewing a client's chart to identify risk factors for
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sudden cardiac arrest (SCA). The nurse should state that septic
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shock is the leading risk of cardiac arrest in the hospital. (Select
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all that apply) - CORRECT ANSWER-- 74yr old Male
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- History of dyslipidemia
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- Obesity
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A nurse is providing care for a client with cardiac tamponade
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(CT). Which of the following manifestations should the nurse
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anticipate? (Select all that apply) - CORRECT ANSWER-- Jugular
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venous distention (JVD)
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- Muffled heart sounds
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- Tachypnea
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A nurse is discharging a client who is at high risk for abdominal
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aortic aneurysm (AAA). Which of the following information
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