A client diagnosed with severe traumatic brain injury and increasing ICP value has a PaCO2 of 65 mm/Hg. Which would be the priority for the nurse to assess?

A client is admitted after a motor vehicle crash with multiple fractures. The client rates pain 9/10 and is visibly guarding the injured extremity. The nurse notes tense muscles, moaning, and restlessness. Lung sounds are clear, pulses are strong with cap refill

The exam is 120 minutes. You will have an additional 15 minutes to print (if available), scan, and upload. If you submit after the allotted time, your exam will be considered late and may incur a late penalty. After you complete your exam, scan your solutions into one .pdf file. Please upload your completed exam file by clicking on the “Add File” button underneath Question 1’s blank answer field. Download exam file here: Exam 1 1. This is a 2-hr exam. Closed book and notes. No electronic devices or internet access.2. A single double sided 8.5in x 11in cheat sheet is allowed.3. If a description to an algorithm or a proof is required, please limit your description or proof to within 150 words, preferably not exceeding the space allotted for that question.4. No space other than the pages in the exam booklet will be scanned for grading.5. If you require an additional page for a question, you can use the extra page provided within this booklet. However please indicate clearly that you are continuing the solution on the additional page.6. Do not detach any sheets from the booklet.7. If using a pencil to write the answers, make sure you apply enough pressure, so your answers are readable in the scanned copy of your exam.8. Do not write your answers in cursive scripts.9. This exam is printed double sided. Check and use the back of each page. If your exam utilizes Gradescope’s Student App, Do NOT upload to Gradescope. You will only upload your scanned exam file to this D2L quiz. 

Which statement made by a client indicates an understanding of the education provided by the nurse regarding digoxin (Lanoxin) toxicity? Select one answer. 

An adolescent diagnosed with schizophrenia spectrum disorder experiences command hallucinations to harm others. The client’s parents ask a nurse, “Where do the voices come from?”Which response should the nurse make?

A nurse is providing education to a client who has been prescribed gemfibrozil for hypertriglyceridemia. Which of the following instructions should the nurse include in the teaching?   Select 3 correct answers: 

The nurse is planning care for a client receiving enoxaparin (Lovenox). Which nursing actions would be included? 

A nurse is caring for a client who has advanced HF and receives epinephrine. Which of the following assessments is priority for the nurse to perform after initiating an epinephrine infusion?

A nurse is educating a client about a bile acid sequestrant. Which of the following instructions should the nurse include?

When administering an SGLT2 inhibitor, empagliflozin, to a patient with heart failure, which nursing intervention will be prioritized?