A patient has a large intracranial hemorrhage and loss of brainstem reflexes. Prior to official brain death declaration, which must be ensured?
A child with hepatic failure received volume replacement. Following this therapy, laboratory tests reveal:
PT: 14 sec
PTT: 40 sec
Hct: 36%
Albumin: 3.5 g/dL
Before the patient undergoes a closed liver biopsy, further replacement should include:
A medical team recommends a tracheostomy for an infant with spinal muscular atrophy. The parent states, “I just want to make sure my child has the best life.” The nurse should:
Fifteen minutes after receiving PO pain medication, a patient reports dull pain in their lower abdomen without nausea. Which of the following interventions should a nurse consider next?
A patient on peritoneal dialysis has high blood glucose. Most likely cause is:
Twenty-four hours after a severe burn and inhalation injury, a child develops increased tachypnea and desaturation. The most likely cause is:
A child was struck by an automobile 24 hours ago. There is an ICP monitor in place which has a spontaneous rise in ICP to 35 mm Hg. A nurse medicates the patient with analgesia and sedative, but the ICP remains elevated. Which of the following should be the next intervention?
An infant in need of a transfusion of PRBCs has only one IV access site with maintenance fluids infusing. After receiving orders to hold the maintenance fluids and administer PRBCs, the nurse should be sure to monitor which of the following?
Following a MVC with prolonged entrapment of the legs, a 7-year-old has:
BP: 75/40
HR: 145
K⁺: 5.9 mEq/L
Hypocalcemia
Elevated CK
What urine output should the nurse expect?
An infant has hypovolemic shock from severe diarrhea. Which of the following assessments demonstrates adequate tissue perfusion following fluid resuscitation?
Capillary Refill
Urine Output
CVP
BP
a. 2 sec
0.5 ml/kg/hr
2 mm Hg
84/50
b. 3 sec
0.5 ml/kg/hr
6 mm Hg
72/44
c. 3 sec
1.2 ml/kg/hr
4 mm Hg
72/48
d. 2 sec
1.2 ml/kg/hr
8 mm Hg
80/54
