A nurse is caring for a client in the ICU

Exhibits

For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.

Administer furosemide

Administer ordered Epinephrine drip

Administer ordered low dose dopamine

Insert an indwelling urinary catheter.

Administer ordered nitroglycerin

Administed 0.9% NS 500ML bolus

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}

Administer furosemide: The patient has signs of pulmonary edema which needs to be managed.
Administer ordered Epinephrine drip: Epinephrine is crucial for managing hemodynamic instability.
Insert an indwelling urinary catheter: Monitoring urine output helps assess kidney function and fluid balance.
Administer ordered low dose dopamine: Useful for maintaining renal perfusion and blood pressure.
Administered 0.9% NS 500 mL bolus: Helps address hypotension and volume deficit.
Administer ordered nitroglycerin: Not needed in this acute post-arrest phase unless specifically indicated for managing ongoing angina or heart failure symptoms.

Nursing Test Bank

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Correct Answer is A

Explanation

A. Nosebleeds (epistaxis) are a common adverse effect of bevacizumab, as it can cause bleeding due to its anti-angiogenic properties.
B. Temporary loss of smell is not a recognized adverse effect of bevacizumab.
C. Weight gain is not typically associated with bevacizumab treatment.
D. Mild hearing loss is not a common adverse effect of bevacizumab.

A. The client states having nasal congestion. B. The client states having a severe headache. C. The client's blood pressure becomes elevated. D. The client's bladder becomes distended.

Correct Answer is D

Explanation

A. Nasal congestion is not a primary sign of autonomic dysreflexia, though it can be a symptom of other conditions.

B. A severe headache can be a symptom of autonomic dysreflexia but is not the sole indicator of the condition.

C. Elevated blood pressure can be a result of autonomic dysreflexia but is not necessarily an indication of risk without other symptoms.

D. A distended bladder is a common trigger for autonomic dysreflexia in clients with a spinal cord injury at or above T-6, making it a key indicator for monitoring.

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A nurse is caring for a client in the ICU Exhibits For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

Correct Answer is A

Explanation

A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client is at risk for experiencing autonomic dysreflexia?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)

A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?

A nurse is assessing a client who has ataxia. Which of the following actions should the nurse take to evaluate the client's ability to safely ambulate?

A nurse is assessing a client who has diabetes insipidus. Which of the following findings is a manifestation of this diagnosis?

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?

A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?

A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply).

A nurse is caring for a client in the ICU

Exhibits

For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.