Ngu Hesi Rn Compass Exit Proctored Exam

The intracranial pressure (ICP) of a brain injured client who is on a ventilator has increased from 15 mm Hg to 25 mm Hg within the last 30 minutes. The client is beginning to flex all extremities int

A client is to receive mannitol IV for increased intracranial pressure. Which outcome may result from the use of mannitol?

Exhibits Which of the following findings should the nurse prioritize?

Patient Data Exhibits The healthcare provider (HCP) would like to do a thoracentesis on the client. The client's caregiver asks the nurse if there are any contraindications for the procedure. Performi

Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The client likely has a(n) dropdown and dropdown

Patient Data Exhibits The rapid response team (RRT) is on its way to the bedside. Which 4 actions should the nurse perform immediately?

Patient Data Exhibits Which are important to monitor in this client following the chest tube placement? Select all that apply.

A client's telemetry monitor indicates ventricular fibrillation (VF). Which should the nurse do first?

After two hours post coronary artery bypass surgery the client experienced a central venous pressure increasing from 13 mm Hg to 17 mm Hg within a half hour. The systolic blood pressure dropped to 90

After two minutes of cardiopulmonary resuscitation, the client's electrocardiogram (ECG) displays third degree heart block with no palpable pulse. Which intervention should the nurse implement?

While caring for a client with a cervical spine injury, which assessment finding should the nurse report to the healthcare provider immediately?

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condit

When caring for a client who is at risk for increased intracranial pressure (ICP), which intervention should the nurse implement to assist in stabilizing ICР?

The nurse is completing a head to toe assessment for a client admitted for observation after falling out of a tree. Which finding warrants immediate intervention by the nurse?

A client sustained a head injury when hit by lead pipe two hours ago and is admitted for observation after the computerized tomography (CT) scan indicates that no spinal cord injury and no skull fract

The healthcare provider prescribes heparin 18 units/kg/hr IV for a client who weighs 154 Ibs to prevent deep vein thrombosis (DVT). The premixed IV solution is labeled "Heparin Sodium 20,000 Units in

After several days of sedation and mechanical ventilation, a client is successfully extubated and is placed on oxygen 40% by face mask. While making rounds, the nurse finds that the client is confused

A young adult male client is admitted to the emergency department (ED) following a motor vehicle collision and the nurse suspects that he has suffered a spinal cord injury (SCI). Which assessment find

Based on this strip, which is the correct interpretation of this rhythm?

An unconscious client is demonstrating pulseless ventricular tachycardia (PVT).The nurse checks the client's pulse and begins cardiopulmonary resuscitation (CPR). The defibrillator and crash cart arri

A man brings his wife to the emergency department (ED) because she is confused and restless. He tells the nurse that they were in a motor vehicle collision early today and his wife bumped her head on

Patient Data Exhibits The nurse is admitting the client to the stroke unit and preparing to complete a focused neurological assessment. Which assessment(s) should the nurse conduct? Select all that ap

A client's chest tube becomes dislodged from the drainage system. Which action should the nurse take?

An adult client is being admitted to the coronary care unit with a possible myocardial infarction (MI). The client reports feeling like they are going to "pass out." The cardiac monitor displays the r

A week after a client suffered a high thoracic spinal cord injury in a motor vehicle collision, the blood pressure suddenly rises to 196/126 mm Hg. Which physiological sign(s) should the nurse identif