A nurse is caring for a patient in the ICU who is hypotensiv…

A nurse is caring for a patient in the ICU who is hypotensive, tachycardic, and has cool, clammy skin. The patient is receiving oxygen via nasal cannula and appears anxious and restless. Hemodynamic monitoring reveals the following: Central Venous Pressure (CVP): 1 mm Hg Pulmonary Artery Wedge Pressure (PAWP): 4 mm Hg Cardiac Output (CO): 3.0 L/min Systemic Vascular Resistance (SVR): 1800 Based on these findings, the nurse suspects the patient is experiencing __________ shock.  

A client with deep partial- and full-thickness burns has und…

A client with deep partial- and full-thickness burns has undergone a split-thickness skin graft to the right leg. The nurse is providing postoperative care. Which intervention is most appropriate for protecting the skin graft during the initial postoperative period?

A nurse in the cardiac step-down unit is caring for a 67-yea…

A nurse in the cardiac step-down unit is caring for a 67-year-old patient who developed cardiogenic shock following an acute anterior wall myocardial infarction. The patient is hypotensive (BP 86/52 mm Hg), tachycardic (HR 118 bpm), and has crackles in both lung bases. Oxygen saturation is 89% on 4 L/min via nasal cannula. The nurse notes cool extremities and decreased urine output. Which of the following interventions is most appropriate to improve cardiac output and tissue perfusion?

A 58-year-old male is admitted to the ICU following a high-s…

A 58-year-old male is admitted to the ICU following a high-speed motor vehicle collision. Imaging reveals multiple rib fractures. The client develops severe dyspnea, hypotension, jugular vein distention, and muffled heart sounds. Arterial blood gases show respiratory acidosis, and the provider diagnoses obstructive shock secondary to a tension pneumothorax. Which of the following interventions should the nurse anticipate as the priority to stabilize the client?

A 176-lb adult client is admitted after being rescued from a…

A 176-lb adult client is admitted after being rescued from a house fire. The nurse’s assessment reveals circumferential burns of both lower extremities (anterior and posterior) and the anterior trunk. The burns are estimated as superficial partial thickness and full-thickness. The client was burned at 5am and fluid resuscitation is being started at 8am. Calculate the inital rate of the IVF. Round to the nearest whole number if needed.