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NUR 221 EXAM 3 NEWEST 2024 ACTUAL EXAM COMPLETE 200+ EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!$27.49
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NUR 221 EXAM 3 NEWEST 2024 ACTUAL
EXAM COMPLETE 200+ EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
The nurse is caring for a patient admitted to the critical care unit
48 hours ago with a diagnosis of severe sepsis. As part of this
patient's care plan, what intervention is most important for the
nurse to discuss with the multidisciplinary care team?
A. Frequent turning
B. Monitoring intake and output
C. Enteral feedings
D. Pain management - ANSWER- C. Enteral feedings
The nurse is administering both crystalloid and colloid
intravenous fluids as part of fluid resuscitation in a patient
admitted in severe sepsis. What findings assessed by the nurse
indicate an appropriate response to therapy?
,2|Page
A. Normal body temperature
B. Balanced intake and output
C. Adequate pain management
D. Urine output of 0.5 mL/kg/hr - ANSWER- D. Urine output of
0.5 mL/kg/hr
The nurse is caring for a 70-kg patient in hypovolemic shock.
Upon initial assessment, the nurse notes a blood pressure of
90/50 mm Hg, heart rate 125 beats/min, respirations 32
breaths/min, central venous pressure (CVP/RAP) of 3 mm Hg,
and urine output of 5 mL during the past hour. Following
primary care provider rounds, the nurse reviews the orders and
questions which order?
A. Administer acetaminophen 650-mg suppository prn every 6
hours for pain.
B. Titrate dopamine intravenously for blood pressure less than
90 mm Hg systolic.
C. Complete neurological assessment every 4 hours for the next
24 hours.
,3|Page
D. Administer furosemide 20 mg IV every 4 hours for a CVP
greater than 20 mm Hg. - ANSWER- B. Titrate dopamine
intravenously for blood pressure less than 90 mm Hg systolic.
The nurse is administering intravenous norepinephrine at 5
mcg/kg/min via a 20-gauge peripheral intravenous (IV) catheter.
What assessment finding requires immediate action by the
nurse?
A. Blood pressure 100/60 mm Hg
B. Swelling at the IV site
C. Heart rate of 110 beats/min
D. Central venous pressure (CVP) of 8 mm Hg - ANSWER- B.
Swelling at the IV site
The nurse is caring for a patient in cardiogenic shock
experiencing chest pain. Hemodynamic values assessed by the
nurse include a cardiac index (CI) of 2.5 L/min/m 2 , heart rate
of 70 beats/min, and a systemic vascular resistance (SVR) of
2200 dynes/sec/cm 5 . Upon review of primary care provider
orders, which order is most appropriate for the nurse to initiate?
, 4|Page
A. Furosemide 20 mg intravenous (IV) every 4 hours as needed
for CVP > 20 mm Hg
B. Nitroglycerin infusion titrated at a rate of 5 to 10 mcg/min as
needed for chest pain
C. Dobutamine infusion at a rate of 2 to 20 mcg/kg/min as
needed for CI < 2 L/min/m 2
D. Dopamine infusion at a rate of 5 to 10 mcg/kg/min to
maintain a systolic BP of at least 90 mm Hg - ANSWER- B.
Nitroglycerin infusion titrated at a rate of 5 to 10 mcg/min as
needed for chest pain
The nurse is caring for a mechanically ventilated patient
following insertion of a left subclavian central venous catheter
(CVC). What action by the nurse best protects against the
development of a central line associated bloodstream infection
(CLABSI)?
A. Documentation of insertion date
B. Elevation of the head of the bed
C. Assessment for weaning readiness
D. Appropriate sedation management - ANSWER- A.
Documentation of insertion date
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