When caring for clients in shock, the nurse bases care on the understanding that shock can be described as

The client with systemic inflammatory response syndrome is deteriorating and is experiencing metabolic acidosis 2nd to lactic acid buildup and renal failure.  He has been mechanically ventilated and is saturating at 95%.  Which of the following ABGs would the nurse expect to see?

A client is brought to the emergency room following a motor vehicle accident in which he sustained head trauma.  He is complaining of hearing loss in the left ear.  The nurse would be correct in documenting this abnormal finding as corresponding to which of the following cerebral lobes?

Match the following products with the appropriate description.  (Use each answer only once)

A client is admitted to the hospital with a head injury resulting from an automobile accident. On admission the client’s vital signs are temperature 98.6° F, BP 128/68, HR 110, and respirations 26. One hour after admission, the nurse notes the following VS:  BP 170/95, HR 53, RR 12 and recognizes that which of the following is occurring?

The nurse is reviewing the client’s labs.  Which of the following values would indicate to the nurse that the client has diabetes? (Assume this is the second lab value at this level).

The client has a prescription (provider’s order) for Dilantin (Phenytoin).  Which of the following findings would warrant withholding the medication while placing a call to the provider?

The client presents to the ED with bradycardia, vomiting, diarrhea and seizures.  A chemical weapon is suspected.  Which of the following treatments would the nurse anticipate?

The nurse is educating a client and family after the client experienced a concussion.  Which of the following findings should be considered a “red flag” and immediately reported to the provider?

The client has a prescription (provider’s order) for Dilantin (Phenytoin).  Which of the following findings would warrant withholding the medication while placing a call to the provider?