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 B

Explanation

A. Driving the client to the nearest medical facility is not appropriate; professional emergency medical services are needed.

B. Notifying emergency management services ensures that the client receives professional medical evaluation and care immediately.

C. Providing water to test the gag reflex is not appropriate in an emergency situation and could pose a choking risk.

D. Performing carotid massage is not recommended and could worsen the condition; it is not a standard emergency procedure.

A. Instruct the client on use of crutches. B. Perform neurovascular checks of the extremities. C. Medicate the client for pain. D. Direct the client to perform exercises of the ankle and toes.

Correct Answer is B

Explanation

A. Instructing the client on the use of crutches is important but not as immediate as assessing for complications.

B. Performing neurovascular checks of the extremities is the most important action to identify complications such as compartment syndrome or impaired circulation.

C. Medicating the client for pain is important but secondary to monitoring for immediate postoperative complications.

D. Directing the client to perform exercises of the ankle and toes helps prevent complications but is not as critical as performing neurovascular assessments.

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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

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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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.