In competitive industries, a differentiating factor is customer service quality.

A mixed venous blood sample from the jugular bulb (SjvO2) of 50% indicates which of the following in the patient undergoing surgery for a traumatic brain injury? 

Where does the tip of the external ventriculostomy drain placed in the patient with intracranial hypertension?  Please click on the image below to answer the question. 

Which surgical position increases the risk of a venous air embolism during a craniotomy? 

A 48-year-old female patient presents to the operating room with a diagnosis of subarachnoid hemorrhage due to the rupture of an intracranial aneurysm. Which are the MOST appropriate anesthetic management interventions for this patient undergoing endovascular coiling for the intracranial aneurysm? (Select 2)

NGN Case Study: Chronic Renal Failure Read the case scenario carefully. Then, answer the following questions based on your clinical judgment and understanding of nursing care for a client with chronic renal failure. Client Profile:Name: Henry MartinezAge: 62Medical History: Hypertension, Type 2 Diabetes Mellitus (diagnosed 15 years ago), chronic renal failure diagnosed 2 years agoMedications: Lisinopril, Metformin, Erythropoietin, Furosemide  Initial Assessment Mr. Martinez presents to the outpatient dialysis clinic complaining of increasing fatigue, swelling in his lower legs, and shortness of breath with minimal exertion. Vital Signs: BP: 168/92 mmHg HR: 92 bpm RR: 22/min O2 Sat: 95% on room air Weight: 88 kg (baseline: 84 kg) Laboratory Results: BUN: 58 mg/dL (↑) Creatinine: 6.1 mg/dL (↑) Potassium: 6.3 mEq/L (↑) Hemoglobin: 8.2 g/dL (↓) GFR: 12 mL/min/1.73 m² (↓) Serum Albumin: 2.8 g/dL (↓) Question:  Match each complication (left side) with the most appropriate nursing action (right side). 

A 70-kg adult client with chronic kidney disease (CKD) is prescribed a 40-g/day protein diet. The client is not undergoing dialysis. Which laboratory result would be of most concern to the nurse?

A 35-year-old client is admitted with a history of severe diarrhea and reports tingling around the mouth and in the fingers. The nurse notes muscle twitching when tapping the client’s cheek and also observes a carpal spasm when a blood pressure cuff is inflated above the client’s systolic pressure. The client’s lab results show serum calcium 7.0 mg/dL (normal 8.5–10.5 mg/dL). Which statement correctly differentiates the signs the nurse observed?  

The nurse is teaching a client how to collect a clean-catch midstream urine specimen for culture and sensitivity testing. Which client statement indicates that further teaching is needed?

NGN Case Study: Chronic Renal Failure Read the case scenario carefully. Then, answer the following questions based on your clinical judgment and understanding of nursing care for a client with chronic renal failure. Client Profile:Name: Henry MartinezAge: 62Medical History: Hypertension, Type 2 Diabetes Mellitus (diagnosed 15 years ago), chronic renal failure diagnosed 2 years agoMedications: Lisinopril, Metformin, Erythropoietin, Furosemide  Initial Assessment Mr. Martinez presents to the outpatient dialysis clinic complaining of increasing fatigue, swelling in his lower legs, and shortness of breath with minimal exertion. Vital Signs: BP: 168/92 mmHg HR: 92 bpm RR: 22/min O2 Sat: 95% on room air Weight: 88 kg (baseline: 84 kg) Laboratory Results: BUN: 58 mg/dL (↑) Creatinine: 6.1 mg/dL (↑) Potassium: 6.3 mEq/L (↑) Hemoglobin: 8.2 g/dL (↓) GFR: 12 mL/min/1.73 m² (↓) Serum Albumin: 2.8 g/dL (↓)  Question: Which findings indicate that Mr. Martinez is experiencing complications related to chronic renal failure?Select four.