MED SURG III - FINAL EXAM - #2

Which stage of shock encompasses mechanical ventilation, altered level of consciousness, and profound acidosis?

When the nurse observes that the client's systolic blood pressure is less than 80 mm Hg, respirations are rapid and shallow, heart rate is over 150 beats per minute, and urine output is less than 30 cc/hour, the nurse recognizes that the client is demonstrating which stage of shock?

Which colloid solution is used to treat tissue hypoperfusion due to hemorrhage?

A client is being cared for in the Neurological Intensive Care Unit following a spinal cord injury. Which assessment finding indicates that the client may be experiencing neurogenic shock?

The nurse recognizes that many risk factors exist for the development of hypovolemic shock. Which are considered "internal" risk factors? Select all that apply.

Which positioning strategy should be used for a client diagnosed with hypovolemic shock?

Which pulse pressure indicates shock?

Bradypnea is associated with which condition?

Which diagnostic imaging modality is more accurate than computed tomography in detecting malignancies?

A nurse is caring for a client after a thoracentesis. Which sign, if noted in the client, should be reported to the physician immediately?

The nurse is caring for a client who is scheduled for a lobectomy. Following the procedure, the nurse will plan care based on the client

A client involved in a motor vehicle crash suffered a penetrating injury to the chest wall and was brought to the emergency department. The nurse assesses the client for which clinical manifestation that would indicate the presence of a pneumothorax?

Which statement reflects treatment of HIV infection?

The nurse is performing a community screening for colorectal cancer. Which characteristic should the nurse include in the screening?

The client with a spinal cord injury at the level of T4 is experiencing a severe throbbing headache with a blood pressure of 180/100 mm Hg. What is the priority nursing intervention?

The nurse has provided instructions to a client receiving external radiation therapy. Which client statement would indicate a need for further instruction regarding self-care related to the radiation therapy to treat lung cancer?

The nurse has provided discharge instructions to the client who has had a pneumonectomy for lung cancer. Which statement, if made by the client, indicates an understanding of appropriate home care measures?

A client who had a myocardial infarction is at risk for cardiogenic shock. The nurse plans care knowing that the primary cause of cardiogenic shock results from which process?

The nurse is assisting in caring for a client with multiple organ dysfunction syndrome (MODS). The nurse understands that which intervention is most important in the care of clients with this syndrome?

Which clinical findings are consistent with sepsis diagnostic criteria? Select all that apply.