NSG 4100 (NSG4100)

A nurse is caring for a client with liver failure and is performing an assessment of the client's increased risk of bleeding. The nurse recognizes that this risk is related to the client's inability to synthesize prothrombin in the liver. What factor most likely contributes to this loss of function? A. Alterations in glucose metabolism B. Retention of bile salts C. Inadequate production of albumin by hepatocytes D. Inability of the liver to use vitamin K -Correct Answer D. Inability ...

The nurse caring for a pt w/ and endotracheal tube recognizes several disadvantages of an endotracheal tube. What would the nurse recognize as a disadvantage? a. cognition is decreased b. Daily ABGs are necessary c. slight tracheal bleeding is anticipated d. the cough reflex is depressed -Correct Answer D What would the critical care nurse recognize as a condition that may indicate a pt's need to have a tracheotomy? a. a pt has a respiratory rate of 10 breaths/min b. a pt required pe...

The pt w fibromyalgia is suffering from pain at 12 of the 18 identification sites, including the neck & upper back & knees. The pt also reports non-refreshing sleep, depression, & being anxious when dealing w multiple tasks. The nurse should teach this pt about what treatments? Select all that apply: a. Minimal aerobic exercise b. Relaxation strategy (biofeedback) c. Anti-seizure during phenytoin d. Serotonin reuptake inhibitor (e.g. sertraline) e. Establish a regular sleep pattern -Correct...

what are some causes for head injuries? -Correct Answer Sports MVCs Men are more at risk What is the best action for obtaining an informed consent for an emergency craniotomy for a pt brought by EMS? -Correct Answer transport the victim to the operating room for surgery What is a clinical manifestation of a brain herniation/ increased ICP? -Correct Answer abnormal pupil response - dilate or nonreactive; normal pupil size is 2-4mm Pt has a brain injury and possible hemorrhage, what n...

what would require immediate intervention for a patient with head trauma? -Correct Answer - CSF drainage: meningitis infection can occur - A depressed fracture - require surgery within 24 hrs - A battle sign (bruising over the mastoid bone) - Pts who pees ALOT - indicate dilute urine --> DI - GCS - score <8 - Decorticate and Decerebrate posturing - Changes in pupils What would require immediate intervention for a patient with TBIs? -Correct Answer - Dolls eyes (dilation of eyes), ...

TESTBANK FOR NSG 4100 (AHIII) EXAM 4 | LATEST QUESTIONS WITH VERIFIED SOLUTIONS 100% GUARANTEED PASS 2025 The nurse is participating in the care of a pt w increased ICP. What diagnostic test is contraindicated in this pt's treatment? a. computed tomography (CT) scan b. lumbar puncture c. magnetic resonance imaging (MRI) d. venous doppler studies - Correct Answer B The nurse has created a plan of care for a pt who is at risk for increased ICP. The pt's care plan should specify m...

CPP (cerebral perfusion pressure) Greater than 50 mm Hg normal Post-Op Complications: Craniotomy 1. ↑ ICP 2. Bleeding or Hypovolemic Shock 3. Fluid & Electrolyte 4. Infection 5. CSF Leaks 6. Seizures Meningitis type HIV/AIDS susceptible Cryptococcal Meningitis Risks & Prevention: Meningitis Prevention: Vaccine 11/12 yr and booster at 16 Risks: Unvaccinated 1st year college students & military Close contact w/meningococcal Meningitis Prophylaxis treatment within...

Exclusion criteria for tPA pregnancy, HTN- can be treated and then done, recent surgery, active bleeding, recent stroke Precautions with ITP and DIC bleeding Sudden cardiac arrest nursing interventions activate code and then chest compressions Torsade de pointe magnesium deficiency- treat electrolyte imbalance Afib meds amiodarone, anticoagulants SVT adenosine Vfib defib

An intensive care nurse is aware of the need to identify pt's who may be at risk of developing disseminated intravascular coagulation (DIC). Which fo the following ICU patient's most likely faces the highest risk of DIC? a. a patient w/ extensive burns b. a patient who has a dx of acute respiratory distress syndrome c. a patient who suffered multiple trauma in a. workplace accident d. a patient who is being treated for septic shock A patient is being treated for DIC and the nurs...