A patient with septic shock begins exhibiting blood oozing from IV sites and mucous membranes. The nurse suspects disseminated intravascular coagulation (DIC) and obtains blood samples. Which of the following lab results is inconsistent with the diagnosis of DIC?

A patient presents with severe hypertension and a severe headache. The nurse suspects a subarachnoid hemorrhage (SAH) hemorrhagic stroke based on which of the following additional assessment findings?

A patient is brought to the emergency department after a motor vehicle accident. Upon assessment, the nurse notes the following: Eye Opening: Opens eyes only in response to verbal stimuli Verbal Response: Confused Motor Response: Localizes pain What is the patient’s Glasgow Coma Scale (GCS) score?

A nurse is caring for a patient in the compensatory stage of shock. Which of the following findings should the nurse expect?

A nurse is caring for a patient who is postoperative day one following a carotid endarterectomy. Which of the following assessments requires immediate intervention?

A nurse is teaching a patient with a high risk for stroke about lifestyle changes. Which of the following patient statements indicates a need for further teaching?

A patient status post coronary artery bypass graft (CABG) develops cardiac tamponade and obstructive shock. The nurse anticipates all of the following hemodynamic changes except:

When caring for a patient with increased intracranial pressure (ICP), which fluid therapy is most appropriate?

The nurse is caring for a patient who sustained an ischemic cerebrovascular accident (CVA). Symptoms started 8 hours ago. The patient’s most recent blood pressure was 190/101 mm Hg. The nurse should take which action?

A patient is admitted with a hemorrhagic stroke and is now exhibiting signs of worsening neurological status related to increased intracranial pressure (ICP). Which of the following is a late manifestation of increased ICP?