A woman is transferred to the intensive care unit

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152. A woman is transferred to the intensive care unit after hemorrhaging during childbirth, and a pulmonary artery catheter is inserted. Her PCWP is 3, PAP is 10/2, RAP is -4, and her blood pressure is 80/60. What is the highest priority intervention? A) decrease afterload with fluid restriction B) decrease preload with diuretics C) increase afterload with vasodilators D) increase preloadwith volume replacement
153. A 78-year-old client in a wheelchair wants to return to bed after eating breakfast. What assessment is most important for the nurse to consider before assisting this client?
154. A client who began a series of tests for infertility last month cries when telling the nurse, “I feel like such a failure. I don’t know ifI can go through with all these tests.” Which response is best for the nurse to make at this time? A) “Test results come back quickly.
V1 2010155. A child with diarrhea and dehydration is receiving an IV solution of half-strength saline at 100 ml/hour and is eating ice chips continuously throughout the day. Which laboratory finding is most important for the nurse to monitor?
156. An elderly male client is experiencing urinary incontinence. What is the best initial nursing action? A) restrict the client’s oral fluid intake B) instruct the client to perform intermittent self-catheterization C) insert an indwelling urinary catheter D) apply an external condom catheter
157. A male client develops oral candidiasis. He has MRSA-positive sputum, is dyspneic, and is receiving oxygen per face mask and linezolid (Zyvox) 600 mg BID IV. In planning care for this client, the nurse identifies which factor as the probable cause of the stomatitis? A) sputum infection
158. A 38-year-old male client collapsed at his outside construction job in Texas in July. His admitting vital signs to ICU are: BP 82/70, heart rate 140 beats/minute, urine output 10ml/hr, skin cool to the touch. Pulmonary artery (PA) pressures are: PAWP 1, PAP 8/2, RAP -1, SVR 1600. What nursing action has the highest priority? A) apply a hypothermia unit to stabilize core temperature

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