Good Day, can you help me with these questions please, 43. The…
Question Answered step-by-step Good Day, can you help me with these questions please, 43. The… Good Day, can you help me with these questions please, 43. The nurse suspects the client is experiencing autonomic dysreflexia. Which interventions should the nurse performimmediately? Select all that apply.Select one or more: a. Insert a urinary catheterb. Remove the noxious stimulus such as fecal impaction.c. Raise the person to a sitting postion.d. Encourage the client to wear a medic alert bracelet.e. Turn the patient to the side. 46. The nurse is caring for a client with a head injury and notes clear fluid coming from the right ear and nose. What is the nurse’simmediate action prior to notifying the physician? a. Encourage the client to blow the nose. b. Apply dry gauze in the ear.c. Lower the head of the bed.d. Irrigate the right ear. 49. Which conditions are related to acute respiratory distress syndrome (ARDS)?a. Lung fluid increases b. Hypoxemia results c. Lungs dry out and become stiff d. Surfactant production is increased. 50. The nurse completes an assessment on a client with multiple systemic problems. The laboratory data suggest renal failure anda decline in respiratory status. The nurse recognizes the client may be experiencing which clinical dysfunction? a. MODS multiple organ dysfunction syndrome b. Cardiogenic shock c. SIRS – systemic inflammatory response syndrome d. ARD acute respiratory distress syndrome 51. When caring for a client with multiple organ dysfunction, the nurse understands the most important goal is:Select one: a. discuss end-of-life care.b. to consult with spiritual leader.c. prevent the progression of the illness. d. promote hospice care. 52. Which assessment finding is considered an early sign of adult respiratory distress syndrome (ARDS)? a. Hyperthermia and hot, dry skin.b. Intercostal and suprasternal retractions.c. Heightened mental acuityd. Adventitious lung sounds 56. The nurse recognizes a first degree AV block when the: a. PR interval is prolonged greater than 0.2 seconds. b. ST segment is elevated. c. P wave is absent or hiddend. QRS complex is wide and bizzare.65. A client is admitted to the hospital with a diagnosis of pelvic inflammatory disease and the physician prescribes ampicillin sodium/ sulbactam (Unasyn) 1.5 g in 100mL of normal saline to infuse over 30 minutes every six hours. What rate should the nurse enter on the IV pump? mL/hour 66. The physician has ordered a lidocaine drip at 2mg/ minute for a client with ventricular tachycardia. The lidocaine concentration is 2g/ 250 mL in DaW. Calculate the rate of the lidocaine in mL/ hour. Health Science Science Nursing NURS 2230 Share QuestionEmailCopy link Comments (0)
