Author: Anonymous

The client is admitted to the ICU with acute respiratory failure and diabetic ketoacidosis (DKA). The following labs and blood gas (ABG) are obtained: ABG: pH 7.32, PaCO2 mmHg, HCO3 12 mEq/L, PaO2 58 mmHg, O2 Saturation 88% Hgb 10.4, HCT 32%, WBC 5.2 Bil/L, Platelets 150,000, lactate 1.2 mmol/L, Glucose 389 mg/dL, Creatinine 1.2 mg/dL The nurse interprets this ABG reading as ______________ _______ The nurse knows the cause of this ABG abnormality is a result of the client’s  _______ level.

The nurse is caring for a client receiving total parenteral nutrition (TPN). The nurse understands that  which of the following manifestations is associated with complications from TPN?  

The nurse is caring for a client with an abdominal aortic aneurysm. The client asks the nurse, “What causes an aneurysm?” The nurse’s best response is which of the following?

The nurse is caring for a client who has undergone skin grafting of the face and arms for burn wound treatment. In creating a care plan for this client, which of the following nursing diagnosis would be a priority for this client?

Match the nursing assessment with the cardiovascular condition. Each answer can only be used once.

The nurse is caring for a client with a chemical burn injury. The initial nursing intervention is to do which of the following?

The client was referred to the clinic due to increased abdominal girth and is diagnosed with ascites. After administering furosemide, which nursing action would be most effective in evaluating this treatment?

The nurse knows that which of the following assessment findings is associated with the client who is experiencing cardiac tamponade? Select all that apply.

The client was referred to the clinic due to increased abdominal girth and is diagnosed with ascites. After administering furosemide, which nursing action would be most effective in evaluating this treatment?

The nurse is caring for a client with increased intracranial pressure (ICP). The nurse knows that one of the earliest signs of increased ICP is which one of the following?