1. The nurse is caring for a client with hypovolemic shock. The family member asks why the fluids are being warmed. What is the best response by the nurse?
• “to prevent complications from hypothermia”
2. The nurse i
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1. The nurse is caring for a client with hypovolemic shock. The family member asks why the fluids are being warmed. What is the best response by the nurse?
• “to prevent complications from hypothermia”
2. The nurse is caring for a newly admitted client diagnosed with acute kidney injury. The nurse understands that the acute kidney injury is most likely related to a history of which condition?
• Sepsis
3. The nurse is caring for a client being monitored by arterial pressure monitoring. The nurse notes a systolic pressure of 164 mmHg. What action should the nurse take first?
• Assess the client.
4. The nurse is caring for a client with an arteriovenous (AV) fistula. Upon assessment, the nurse is unable to auscultate a bruit. What action should the nurse take first?
• Notify the provider
5. The nurse is assessing jugular venous pressure. In what order should the nurse proceed with the steps in the process? [place the steps in the correct order beginning with the first step]
• 3.place head of bed between 30-45 degrees.
• 2. Have client turn head slightly to the left.
• 6. Shine a pen light across the neck, assess for jugular venous distension at end of exhalation.
• 5.observe the highest point of pulsation in the internal jugular vein at end
exhalation.
• 4. Measure the vertical distance between the pulsation and the angle of louis.
• 1. Add 5 cm to the measurement.
6. The nurse is caring for a client with acute kidney injury. The nurse should anticipate which abnormal assessment finding?
• BUN/creatinine ration 25.1
7. The nurse is caring for a client whose vital signs are monitored using invasive hemodynamic monitoring. Which action is most important for the nurse to implement to decrease the risk of infection?
• Strict hand washing
8. The nurse is preparing a client for placement of a catheter for arterial pressure monitoring. What is the best way for the nurse to assess ulnar circulation prior to catheter insertion?
• Occlude the radial artery.
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