The nurse is caring for a mechanically ventilated client with a traumatic brain injury who has an intracranial pressure (ICP) monitor in place. The current assessment findings are: BP 80/50 mm Hg, apical heart rate 60, respiratory rate 20, ICP 22 and temperature of 38*C.     The clients CPP pressure = ______________    

A client is admitted to the cardiac care unit with cardiogenic shock. The nurse assesses the client to be diaphoretic and tachypneic, with bilateral crackles throughout both lung fields. Following insertion of a pulmonary artery catheter, which hemodynamic values will the nurse most likely find?

The nurse is caring for a client with septic shock related to a gram-negative bacterial infection. Which of the following is an anticipated outcome for this client if the treatment plan is effective?

The new medical-surgical floor nurse is rounding and finds the client in bed, sitting in high Fowler’s position. The client is using accessory muscles, is very anxious and has a feeling of impending doom. The client’s vital signs are: BP 90/50 mm/Hg, apical rate of 110 beats per minute, and RR of 36 shallow and labored. Which of the following should the nurse perform next?

The nurse is caring for a client with septic shock related to a gram-negative bacterial infection. Which of the following is an anticipated outcome for this client if the treatment plan is effective?

The nurse is caring for a client with an abdominal aortic aneurysm. The client asks the nurse, “What causes an aneurysm?” The nurse’s best response is which of the following?

The client is admitted with a musculoskeletal injury and the nurse suspects compartment syndrome. Which of the following is the initial manifestation that the nurse would observe with this condition?

The nurse is caring for a client with a chemical burn injury. The initial nursing intervention is to do which of the following?

The nurse is caring for a client who has undergone skin grafting of the face and arms for burn wound treatment. In creating a care plan for this client, which of the following nursing diagnosis would be a priority for this client?

The nurse is caring for a client with a chemical burn injury. The initial nursing intervention is to do which of the following?