3. The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. What action by the nurse is most appropriate?

41. What action by a new intensive care unit staff nurse would indicate that the nurse educator’s teaching about arterial pressure monitoring has been effective?

33. Disseminated intravascular coagulation is suspected in a client with pneumonia and sepsis.  What information is most important to report to the health care provider?

12. Which assessment finding would lead the nurse to suspect that a newborn infant has a ventricular septal defect?

A nursing instructor is teaching about the prevalence of bipolar disorder. Which student statement indicates that learning has occurred?

49. After surgery for an abdominal aortic aneurysm, a client’s central venous pressure is 2 mm/Hg. Which action should the nurse take?

29. A client has been admitted with dehydration and hypotension after having vomiting and diarrhea for 4 days. Which finding is most important for the nurse to report to the health care provider?

5. The nurse is admitting a child who has been diagnosed with Kawasaki disease. What is the most serious complication for which the nurse should assess in Kawasaki disease?

36. The health care provider prescribes the following interventions for a 67-Kg client who has septic shock with a blood pressure of 70/42 mm Hg and O2 saturation of 90% on room air. In which order will the nurse implement the actions? (Select all that apply). a. Obtain blood and urine cultures.b. Give vancomycin by IV infusion.c. Infuse normal saline 2000 mL over 30 minutes.d. Administer oxygen to keep O2 saturation above 95%.

47. The nurse is caring for a client receiving a continuous norepinephrine IV infusion. Which finding indicates that the infusion rate may need to be adjusted?