A nurse is providing care for a group of clients in the emergency department. Which of the following clients is at risk for developing neurogenic shock?

The client who has chronic kidney disease

The client experiencing an asthma attack

The client who has Guillain-Barré syndrome

The client who has a severe burn injury

Answer and Explanation

The Correct Answer is C

A.   This client is at risk for other complications such as electrolyte imbalances or heart failure, but not specifically neurogenic shock.
B.   This client is experiencing respiratory distress, which is a different type of shock (anaphylactic or septic shock might be considered, but not neurogenic).

C.   Guillain-Barré syndrome is an autoimmune disorder that affects the nervous system, often leading to paralysis. It can cause a rapid loss of muscle function, which can result in neurogenic shock due to loss of sympathetic nervous system tone.
D.   This client is at risk for hypovolemic shock due to fluid loss, not neurogenic shock.

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Correct Answer is ["5.3"]

Explanation

1 pound = 0.453592 kilograms

28 pounds = 28 * 0.453592 = 12.7 kilograms

Dose = weight in kg * prescribed dose Dose = 12.7 kg * 10 mg/kg = 127 mg

The medication is availableas 120 mg/5 mL. To find the volume for 127 mg:

Volume = (desired dose / concentration) * volume Volume = (127 mg / 120 mg) * 5 mL

Volume ≈ 5.29 mL

Therefore, the nurse should administer approximately 5.3 mL of acetaminophen.

A. Pupils round, 2mm and constricting to light B. Decreasing level of consciousness C. Temporal headache D. Glasgow coma score of 13

Correct Answer is B

Explanation

A. Pupils round, 2mm and constricting to light is a normal pupil response.
B. Decreasing level of consciousness is a critical sign of deteriorating neurological status and requires immediate medical intervention.
C. Temporal headache is a common symptom after head injury but it is not as urgent as a decreasing level of consciousness.
D. Glasgow coma score of 13 indicates a mild to moderate head injury, but it's a static measurement. A decreasing level of consciousness would indicate worsening condition.

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A nurse is providing care for a group of clients in the emergency department. Which of the following clients is at risk for developing neurogenic shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5.3"]

Explanation

A client arrives to the emergency department by ambulance. The client has a possible traumatic brain injury after a fall from a roof. Which of the following assessment findings will the triage nurse report to the provider immediately?

Correct Answer is B

Explanation

A client is experiencing decorticate posturing. Which assessment finding would the nurse expect to observe in this client?

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse take?

A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

A nurse suspects a client who has myasthenia gravis is experiencing a myasthenic crisis. Which of the following actions should the nurse take?

A nurse is assessing a client in the emergency department when it is noted the left pupil is enlarged and fixed while the right pupil constricts to 2mm when exposed to light. Which of the following is a possible cause of unequal pupil sizing?

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?