Critical Care EAQ Exam Questions With
Revised Answers
The nurse is caring for four clients admitted at once under mass casualty conditions. Which
client should be treated first?
A- airway obstruction
B- extensive full thickness burn
C- open fracture
D- closed fracture and abrasion - answer✔✔airway obstruction
What is a common metabolic cause of hypothermia?
1
Seizure
2
Dehydration
3
Hypoglycemia
4
Hyperthyroidism - answer✔✔Hypoglycemia
The nurse is caring for a client who is admitted to the birthing unit with a diagnosis of abruptio
placentae. Which complication associated with a placental abruption should the nurse carefully
monitor this client for?
1
Cerebral hemorrhage
2
Pulmonary edema
With abruptio placentae, uterine bleeding can result in massive internal hemorrhage, causing
hypovolemic shock. A cerebral hemorrhage may occur with a dangerously high blood pressure;
there is no information indicating the presence of a dangerously high blood pressure. Pulmonary
edema may occur with severe preeclampsia or heart disease, and seizures are associated with
severe preeclampsia; there is no information indicating the presence of these conditions.
A client has undergone nasal hypophysectomy surgery. During post-operative care, which
finding indicates cerebrospinal leakage?
1
Dry mouth
2
Rigidity of neck muscles
3
Fall in blood pressure upon standing
4
A yellow edge around nasal discharge - answer✔✔A yellow edge around nasal discharge
Nasal hypophysectomy is a surgical procedure performed to treat hyperpituitarism due to
pituitary gland tumors. During postoperative care and follow-up, the appearance of light-yellow
at the edge of otherwise clear nasal discharge in the dressing indicates leakage of cerebrospinal
fluid (CSF). This is called the "halo sign" and is indicative of a CSF leak. Dry mouth after nasal
hypophysectomy is normal because the client breathes through the mouth due to the nasal
packing. Neck rigidity could be an indication of infection, such as meningitis following the
surgery. A fall in blood pressure upon standing is called orthostatic hypotension and is a side
effect of bromocriptine.
The nurse is caring for a client with a diagnosis of necrotizing fasciitis. Which is the priority
concern of the nurse when caring for this client?
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