A client was admitted to the intensive care unit after having an abdominal aortic aneurysm resection. The client's cardiac monitor shows a heart rate of 110. The clients hemodynamic monitoring shows a Central Venous Pressure (CVP): 1 mmHg and a Pulmonary Arterial Wedge Pressure (PAWP): 3 mmHg. Which health care provider order would the nurse anticipate receiving?

Monitor hemodynamic monitoring parameters again in one hour.

Administer Furosemide (Lasix) 20mg IVP.

Decrease IV Fluids to 75ml/hr and recheck hemodynamic parameters.

Administer 0.9% Normal Saline @ 150ml/hr

Answer and Explanation

The Correct Answer is D

A. Although monitoring hemodynamic parameters is important, this option does not address the immediate issue of low preload, as indicated by the low CVP and PAWP, suggesting hypovolemia.

B. Furosemide is a diuretic and would further decrease intravascular volume, which is inappropriate given the signs of hypovolemia.

C. Decreasing IV fluids would exacerbate the low preload and worsen the client's condition by reducing intravascular volume even further.

D. Administering 0.9% Normal Saline @ 150 mL/hr is the most appropriate intervention. The low CVP and PAWP indicate hypovolemia, and increasing fluid administration will help to increase the preload, thereby improving the client's hemodynamic status.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Pouring water over the genitals can help reduce the pain of urination, which is common in clients with genital herpes.

B. Washing hands carefully after applying ointment is important to prevent the spread of the virus.

C. The herpes simplex virus can be transmitted even when lesions are not present, so this statement indicates a need for further education. The virus can be spread through asymptomatic viral shedding.

D. Increasing fluid intake when lesions are open helps to prevent urinary retention and promote healing.

A. Tell the student to stop playing immediately if any dyspnea occurs. B. Refer the student to a cardiologist for further diagnostic testing. C. Allow the student to participate on the soccer team. D. Obtain more detailed information about the student's family health history.

Correct Answer is C

Explanation

A. It is appropriate to monitor for symptoms of bradycardia, but the student is currently asymptomatic.

B. Referral to a cardiologist is not necessary unless the student develops symptoms or other concerning signs.

C. Sinus bradycardia can be normal in young, healthy athletes, especially those who engage in regular physical activity. Since the student is asymptomatic, with no signs of dyspnea, chest pain, or other concerning symptoms, there is no reason to restrict participation in sports.

D. Family history may be helpful, but this is not the immediate priority when the student is asymptomatic.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with genital herpes has painful blisters on her vulva. After teaching the client self-care measures, which statement indicates the need for further education?

Correct Answer is C

Explanation

A 20-year-old has a mandatory electrocardiogram (ECG) before participating on a college soccer team and is found to have sinus bradycardia, rate 52. The students blood pressure is 119/76 and denies any health issues. Which action by the nurse is most appropriate?

Correct Answer is C

Explanation

The nurse is preparing to administer adenosine (Adenocard) to a client experiencing supraventricular tachycardia. When giving this medication, what is important to remember?

A client has just experienced a 90-second tonic-clonic seizure and has the following arterial blood gas results: pH 7.12, HCO3 22 mEq/L, PaCO2 55 mmHg, PaO2 60 mmHg. Which intervention is the most appropriate?

The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?

A nurse is caring for four clients. Which one would the nurse see first?

A nurse admits a client who is experiencing an exacerbation of heart failure. What action would the nurse take first?

A nurse is assessing clients on a medical-surgical unit. Which client would the nurse identify as being at greatest risk for atrial fibrillation?

A client is being discharged home after a large myocardial infarction and subsequent coronary artery bypass grafting surgery. The client's sternal wound has not yet healed. What statement by the client most indicates a higher risk of developing sepsis after discharge?