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HESI CRITICAL Critical Care CARE2019.

1. What assessment findings should he nurse document in the
electronic medical record for a client who is experiencing autonomic
dysreflexia after a TANSWER-4 spinal cord injury
ANSWER-Severe hypertension, diaphroresis, and flushing above the
lesion
2. As the nurse is turning a client with a chest tube, the chest tube
becomes dislodged from the pleural space. What action should the
nurse take first?
ANSWER-Have the client exhale forcefully and tape 3 sides of a
sterile gauze over the insertion site
3. The nurse plans to administer a low dose prescription for dopamine
(Intropin) to a client who is in septic shock. Which physiological
parameter should the nurse use to evaluate a therapeutic response to
dopamine?
ANSWER-Urinary Output
4. The nurse assesses a male client postoperatively who has an arterial
line in the radial artery. Assessment findings include pallor, parastesia,
and slow capillary refill in the client’s right hand fingers. What action
should the nurse plan?

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Specificaties

Niveau: University
School: Chamberlain
Opleiding: Nursing
Vaknaam: nursing
Alle documenten voor dit vak ›
Studiejaar: 2024
Boek
Naam boek: HESI CRITICAL Critical Care CARE2019.
Document
Rubriek: Samenvattingen
Gemaakt op: 03-08-2024
Type: .pdf
Pagina's: 4
Taal: English

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