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NURS 221 EXAM 3 NEWEST 2024 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+$14.99
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10/8/24, 7:09 AM NURS 221 EXAM 3 NEWEST 2024 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE QUESTIONS WITH DET…
NURS 221 EXAM 3 NEWEST 2024 ACTUAL EXAM
2 VERSIONS (VERSION A AND B) COMPLETE
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
Terms in this set (212)
The nurse is caring for a A. Assess the blood pressure palpation
patient admitted with
hypovolemic shock. The
nurse palpates thready
brachial pulses but is
unable to auscultate a
blood pressure. What is
the best nursing action?
A. Assess the blood
pressure palpation
B. Estimate the systolic
pressure as 60 mm Hg.
C. Obtain an electronic
blood pressure monitor.
D. Record the blood
pressure as "not
assessable."
,10/8/24, 7:09 AM NURS 221 EXAM 3 NEWEST 2024 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE QUESTIONS WITH DET…
The nurse has just B. Lactate 6 mmol/L
completed an infusion of
a 1000 mL bolus of 0.9%
normal saline in a patient
with severe sepsis. One
hour later, which
laboratory result requires
immediate nursing
action?
A. Creatinine 1.0 mg/dL
B. Lactate 6 mmol/L
C. Potassium 3.8 mEq/L
D. Sodium 140 mEq/L
The nurse has been D. Right atrial pressure and urine output
administering 0.9%
normal saline intravenous
fluids as part of early
goal- directed therapy
protocols in a patient
with severe sepsis. To
evaluate the
effectiveness of fluid
therapy, which
physiological parameters
would be most important
for the nurse to assess?
A. Breath sounds and
capillary refill
B. Blood pressure and
oral temperature
C. Oral temperature and
capillary refill
D. Right atrial pressure
and urine output
,10/8/24, 7:09 AM NURS 221 EXAM 3 NEWEST 2024 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE QUESTIONS WITH DET…
A patient is admitted to D. The patient is at risk for developing hypovolemic
the critical care unit shock.
following coronary artery
bypass surgery. Two
hours postoperatively,
the nurse assesses the
following information:
pulse is 120 beats/min;
blood pressure is 70/50
mm Hg; pulmonary artery
diastolic pressure is 2 mm
Hg; cardiac output is 4
L/min; urine output is 250
mL/hr; chest drainage is
200 mL/hr. What is the
best interpretation by the
nurse?
A. The assessed values
are within normal limits.
B. The patient is at risk for
developing cardiogenic
shock.
C. The patient is at risk for
developing fluid volume
overload.
D. The patient is at risk for
developing hypovolemic
shock.
, 10/8/24, 7:09 AM NURS 221 EXAM 3 NEWEST 2024 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE QUESTIONS WITH DET…
A patient is admitted after C. Lactated Ringer's bolus
collapsing at the end of a
summer marathon. She is
lethargic, with a heart
rate of 110 beats/min,
respiratory rate of 30
breaths/min, and a blood
pressure of 78/46 mm
Hg. The nurse anticipates
administering which
therapeutic intervention?
A. Human albumin
infusion
B. Hypotonic saline
solution
C. Lactated Ringer's
bolus
D. Packed red blood
cells
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