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The patient is ten days post-spinal cord injury at the level…

The patient is ten days post-spinal cord injury at the level of T-3. Vital signs are as follows: BP 78/40  HR 112  RR 24  Temp 98.2 orally. A fluid bolus of 1000 mL 0.9% normal saline is administered with an improvement in vital signs. The nurse suspects which type of shock?

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A young boy sustained extensive burns 2 days ago. He has an…

A young boy sustained extensive burns 2 days ago. He has an elevated temperature despite absence of infection. Which is most likely the cause of the temperature?

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The emergency room nurse is answering questions from family…

The emergency room nurse is answering questions from family members openly and honestly. The use of defense mechanisms to limit the pain of reality indicate what stage of crisis for this family?

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The nurse is caring for a patient with acute respiratory dis…

The nurse is caring for a patient with acute respiratory distress syndrome (ARDS). The patient is receiving mechanical ventilation and is sedated with propofol. The patient is noted with a Richmond Agitation Sedation Scale score of +3. Which of the following is the most appropriate action by the nurse?

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The nurse is caring for a ventilated patient with acute resp…

The nurse is caring for a ventilated patient with acute respiratory distress who is on rocuronium. While routinely checking train of four, the nurse nurse notes 4 twitches. The nurse knows that which of the following is the most appropriate nursing action?

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A client admitted to the emergency department (ED) with seve…

A client admitted to the emergency department (ED) with severe diarrhea and vomiting is subsequently diagnosed with food poisoning. When addressing signs and symptoms of fluid status, what would the nurse assess? (Select all that apply)

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The nurse is caring for a patient on mechanical ventilation…

The nurse is caring for a patient on mechanical ventilation who becomes anxious and attempts to pull at the endotracheal tube. What is the best initial nursing action?

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A nurse is caring for a patient with a bone tumor. The nurse…

A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the client reduce the risk for pathologic fractures. What should the nurse teach the client?

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A nurse is collaborating with the physical therapist to plan…

A nurse is collaborating with the physical therapist to plan the care of a patient with osteomyelitis. What principle should guide the management of activity and mobility in this patient?

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The nurse is caring for a patient with suspected acute respi…

The nurse is caring for a patient with suspected acute respiratory distress syndrome. The nurse anticipates which of the following findings on examination of the patient? (Select all that apply)

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