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50. Systemic inflammatory response syndrome (SIRS) is characterized by all of the following except:

60. A 78-kg patient with septic shock has a pulse rate of 120 beats/min with low central venous pressure.  Urine output has been 30 mL/hr for the past 3 hours.  Which order by the health care provider should the nurse question?

8.  The nurse is admitting a client with possible Haemophilus influenzae—meningitis. It is MOST important for the nurse to take which of the following actions?

49. An older client with cardiogenic shock is cool and clammy.  Hemodynamic monitoring indicates a high systemic vascular resistance (SVR).  Which intervention should the nurse anticipate?

34.  A patient has a systemic blood pressure (BP) of 120/60 mm Hg and an intracranial pressure of 24 mm Hg.  The nurse determines that the cerebral perfusion pressure (CPP) of this patient indicates  

13.  During recovery from a cerebrovascular accident (CVA), a female client is given nothing by mouth, to help prevent aspiration. To determine when the client is ready for a liquid diet, the nurse assesses the client’s swallowing ability once each shift. This assessment evaluates:

29.  The patient comes to the emergency department (ED) with cortical blindness and visual field defects.  Which type of head injury does the nurse suspect?  

25.  Which drug treatment helps decrease ICP by expanding plasma and the osmotic effect to move fluid?  

16.  A lumbar puncture is performed on a child suspected of having bacterial meningitis. CSF is obtained for analysis. A nurse reviews the results of the CSF analysis and determines that which of the following results would verify the diagnosis?

20.  Which of the following signs and symptoms of increased ICP after head trauma would appear first?