The nurse is caring for a client who was just admitted to the ICU with an acute stroke. The client has a Glasgow Coma Scale (GCS) of 10 and is in high-fowler’s position with a non-rebreather mask connected to 100% oxygen. Which of the following nursing interventions is a priority in the client’s plan of care?

The new medical-surgical floor nurse is rounding and finds the client in bed, sitting in high Fowler’s position. The client is using accessory muscles, is very anxious and has a feeling of impending doom. The client’s vital signs are: BP 90/50 mm/Hg, apical rate of 110 beats per minute, and RR of 36 shallow and labored. Which of the following should the nurse perform next?

The nurse is caring for a client with septic shock related to a gram-negative bacterial infection. Which of the following is an anticipated outcome for this client if the treatment plan is effective?

The nurse is caring for a client with an abdominal aortic aneurysm. The client asks the nurse, “What causes an aneurysm?” The nurse’s best response is which of the following?

Match the nursing assessment with the cardiovascular condition. Each answer can only be used once.

The nurse is caring for a client who has undergone skin grafting of the face and arms for burn wound treatment. In creating a care plan for this client, which of the following nursing diagnosis would be a priority for this client?

Match the nursing assessment with the cardiovascular condition. Each answer can only be used once.

The nurse is caring for a client who has undergone skin grafting of the face and arms for burn wound treatment. In creating a care plan for this client, which of the following nursing diagnosis would be a priority for this client?

The nurse is caring for a client with a chemical burn injury. The initial nursing intervention is to do which of the following?

The nurse is caring for a client with increased intracranial pressure. The nurse would note which of the following manifestations associated with Cushing’s triad?