Signs of increased intracranial pressure (ICP) include:

The nurse performs a follow-up assessment of a client who was involved in a motor vehicle accident and sustained massive head injuries. The client is weaned off the ventilator and is breathing independently. The nurse notices the client’s respirations have a rhythmic crescendo and decrescendo of rate and depth of respiration and include brief periods of apnea. This type of respiratory pattern is:

In the unconscious client, noxious stimuli may elicit an abnormal motor response. When assessing a client, the nurse finds that in response to painful stimuli, the upper extremities exhibit flexion of the arm, wrist, and fingers with adduction of the limb. The lower extremity exhibits extension, internal rotation, and plantar flexion. This is known as:

Aspiration is defined as the passage of regurgitated gastric contents or other foreign materials into the trachea and down to the smaller air units. The most common and severest form of aspiration is the aspiration of gastric contents. If aspiration is suspected, the nurse should:

The goals and effects of conscious sedation include the following:

Which sedation is typically achieved by administering a single, non-IV dose of a long-acting agent?

Pulse oximetry is a noninvasive method for monitoring oxygen saturation. The pulse oximeter is considered very accurate. However, several physiologic and technical factors limit the monitoring system. Physiologic limitations in pulse oximetry include:

The nurse asks a client about an upcoming medical procedure. The client will be undergoing a thoracentesis for a large right pleural effusion. The nurse knows further teaching is necessary when the client states:

The nurse cares for a client diagnosed with metabolic alkalosis. Metabolic alkalosis occurs in:

The nurse knows respiratory acidosis occurs in:

Treatment of fluid and electrolyte disorders is based on:

Which condition is characterized by weight loss, excessive thirst, and dry mucous membranes?

Pulmonary embolism and deep venous thrombosis (DVT) are two manifestations of the same disease. The risk factors for pulmonary embolism are the risk factors for thrombus formation within the venous circulation. These risk factors are known as Virchow’s triad and include:

Which electrolyte imbalance will the nurse find with hyperparathyroidism, Paget’s disease, adrenal insufficiency, and prolonged immobilization?

A client is diagnosed with second-degree burns. The nurse expects the physician to order:

The nurse knows which burn involves the entire thickness of the skin?

Ionizing radiation is the only form of radiation proven to cause human cancer. Which are examples of ionizing radiation?

Which diagnostic test utilizes a huge electromagnet that detects hidden tumors by mapping the vibrations of the various atoms in the body on a computer screen?

Which is manifested by an increase in weight and peripheral edema or ascites?

Thyroid radioactive iodine uptake and scan is usually performed on clients with an established diagnosis of:

Which form of therapy uses radiation to kill cancerous cells?

Nurses handling radiation sources can minimize exposure to radiation by recognizing the importance of:

The success of treatment of local radiation depends upon:

A client complains of progressively worsening shortness of breath since cutting the grass 3 days ago. The client has a history of asthma. The nurse knows this client is having a severe exacerbation and should immediately receive:

Which type of burn is very painful and heals without scarring or contractures in approximately 7 to 14 days?

A client’s arterial blood gases (ABG) reveal pH 7.0, HCO3 24 mEq/L, PaCO2 56 mm Hg. Which illness does this indicate?

A client’s arterial blood gases (ABG) reveal pH 7.2, HCO3 22 mEq/L, and PaCO2 40 mm Hg. Which illness does this indicate?

A client’s arterial blood gases (ABG) reveal pH 7.6, HCO3 26 mEq/L, and PaCO2 38 mm Hg. Which illness does this indicate?

A client’s arterial blood gases (ABG) reveal pH 7.8, HCO3 26 mEq/L, and PaCO2 38 mm Hg. Which illness does this indicate?

The nurse cares for a postoperative client who has a temperature of 103 degrees Farenheit. The nurse knows the causes of postoperative fever include: