When caring for a client who has had a head injury which assessment information requires the most rapid action by the nurse?

When caring for a client who has had a head injury which assessment information requires the most rapid action by the nurse?

A client is brought to the emergency department with partial-thickness and full-thickness burns on the anterior surface of both legs and anterior trunk. Using the Rule of Nines what is the total body surface area that has been burned?

Which electrocardiographic (ECG) change is most important for the nurse to communicate to the health care provider when caring for a client with chest pain?

A client with a T2 injury is in spinal shock. The nurse will expect to observe what assessment finding?

What is the best rationale for the following health care provider prescriptions for a client with a head injury: elevate the HOB: keep the head in neutral alignment with no neck flexion or head rotation; avoid sharp hip flexion?

After teaching a post kidney transplant client on immunosuppressant therapy about the post-transplant drug regimen, the nurse determines that additional teaching is needed when the client says,

During the emergent phase of burn care which nursing action will be most useful in determining whether the client is receiving adequate fluid infusion?

Your client's cardiac monitor shows atrial fibrillation. The client's pulse is 188 and irregular, blood pressure 110/70, and respirations 16. Which of the following medications would you expect to administer first?

Hemodynamic readings for a client awaiting a heart transplant are

P-114

B/P-94/52

CO (cardiac output) - 3.5 L/min

CI (cardiac index) - 1.8 L/min

CVP (central venous pressure) - 12

SVR (systemic vascular resistance) - 1500 dynes/sec/cm2

The client would most benefit from an IV infusion of

The nurse is caring for a client with right ventricular hypertrophy and consequently decreased right ventricular function. What valvular disorder may have contributed to this client's diagnosis?