The nurse is caring for a client with respiratory distress. Which of the following assessments would be most concerning to the nurse?

The nurse is caring for a client at risk for developing Acute Respiratory Distress Syndrome (ARDS). Which of the following manifestations would the nurse expect to see in early ARDS?

The nurse is caring for a client with an electrical burn injury; with an entrance wound in the right hand and an exit wound in the left foot. After placing the client on 2 liters of oxygen via nasal cannula, the nurse’s next intervention is to do which of the following?

In clients with extensive burns, edema occurs in both burned and unburned areas because of which of the following?

Hold up your scrap paper at the end of the exam to the camera, and rip it up in front of the cameral. 

Based upon the rhythm below, which of the following interventions will the nurse perform first?

The nurse is caring for a client who has a diminished level of consciousness and who is mechanically ventilated. While performing a pain assessment on this client, the nurse notes the client’s arms bilaterally flex and adduct, and the legs extend and internally rotate when pressure is applied to the client’s nail beds. The nurse knows that this is which one of the following?

The nurse is caring for a client with a pulmonary artery catheter for hemodynamic monitoring.  Which of the following interventions will the nurse include in the client’s plan of care?  Select all that apply.

The nurse is caring for a mechanically ventilated client with a traumatic brain injury who has an intracranial pressure (ICP) monitor in place. The current assessment findings are: BP 80/50 mm Hg, apical heart rate 60, respiratory rate 20, ICP 22 and temperature of 38*C.     The clients CPP pressure = ______________    

Hold up your scrap paper at the end of the exam to the camera, and rip it up in front of the cameral.