Exhibits
According to the lab values, the client has
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A","dropdown-group-3":"B"}
The client has a history of trauma with abdominal injury (lacerations to the liver and spleen) and blood in the peritoneum, indicating significant internal bleeding.
Hypovolemia (low blood volume) occurs due to blood loss from the injured organs, leading to low blood pressure (90/79 mmHg) and tachycardia (HR 128 bpm). The low hemoglobin (9.3 g/dL) and low hematocrit (30%) are consistent with either acute blood loss or hemodilution due to intravenous fluid resuscitation, which can temporarily dilute blood components. The normal clotting times (PT 11.5 sec, PTT 64 sec) do not indicate disseminated intravascular coagulation (DIC), and there is no evidence of acidosis in the provided data.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Completing the procedure would delay the nurse’s response to the emergency.
B. Calling for an assistant allows the nurse to quickly respond to the emergency while ensuring that the tracheostomy care is not neglected.
C. Responding to the code is the priority, but assistance should be called to ensure that other duties are attended to in the meantime.
D. Closing the room door would isolate the situation but does not address the immediate need for assistance.
Correct Answer is C
Explanation
A. Obtaining a 12-lead ECG is done after return of spontaneous circulation (ROSC), not during defibrillation.
B. Interrogating the pacemaker is important but is not the immediate priority during resuscitation.
C. Defibrillator pads should be placed at least 1 inch away from the pacemaker to prevent damage to the device and ensure effective defibrillation.
D. A doughnut magnet is used to deactivate pacemaker functions in cases like pacemaker-mediated tachycardia but is not relevant in ventricular fibrillation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.