An acutely ill client is being cared for in the critical care unit. The client is delirious and is exhibiting signs of significant anxiety. The nurse should recognize that the client is at greatest risk for which of the following nursing diagnosis?

The nurse is caring for a spinal cord injury client in neurogenic shock. Several liters of IV fluids have been administered without improvement of the patient’s condition. Current vital signs assessed by the nurse include: B/P 60/40 mmHg, Pulse 132 beats/min, RR 28 breaths/min, and rectal temperature of 35.5°C. Which of the following provider orders should the nurse perform first?

Which of the following disorders cause metabolic acidosis? Select all that apply.

CASE STUDY QUESTION The following questions pertain to the client who is newly admitted in the ICU with diabetic ketoacidosis.   QUESTION: The nurse knows that the presence of ketones in the blood in this client is the result of which of the following?

Which of the following disorders cause metabolic acidosis? Select all that apply.

Which of the following nursing diagnoses and interventions has the highest priority while treating a client with Guillain-Barre syndrome?

The nurse is caring for a client with a left sided chest tube that is experiencing manifestations of a tension pneumothorax. The nurse knows that a client with a chest tube is at risk for tension pneumothorax if which of the following scenarios is present?

The alert and oriented client with a closed head injury has a blood pressure 130/90 mm/Hg, pulse 64 beats/min, RR 18 breaths/min, and a Temp. of 38.8° C. To reduce the risk of increased intracranial pressure (ICP) on this client, which of the following is the priority nursing intervention?

The nurse is caring for a client with a left sided chest tube that is experiencing manifestations of a tension pneumothorax. The nurse knows that a client with a chest tube is at risk for tension pneumothorax if which of the following scenarios is present?

The nurse knows that which of the following physiologic phenomenon occurs with clients in shock that necessitates special nutritional needs?