Critical neuro
helps determine cerebral blood flow and should be maintained greater than 65 mm Hg for adequate organ perfusion
What is the MAP
patient has low urine output, fluid retention, and dilutional hyponatremia. patient often have low serum sodium and concentrated urine. What condition am I?"
What is SIADH?
A 65-year-old patient presents to the emergency department with sudden-onset shortness of breath, chest pain, and tachypnea and orders a D-dimer test. The result is significantly elevated. What is the most likely implication of this result?
What is PE or DVT
A 70-year-old patient presents with hypotension, tachycardia, and warm, dry skin following a spinal cord injury at T6. Which type of shock is most likely occurring?
what is Neurogenic shock
A 25-year-old patient presents to the emergency department with sudden-onset sharp chest pain and shortness of breath. The patient is otherwise healthy and has no history of trauma. The nurse suspects a spontaneous pneumothorax. What is the first diagnostic test the nurse should anticipate?
what is Chest X-ray
A patient with severe traumatic brain injury (TBI) is in the ICU with an intracranial pressure (ICP) monitor. His ICP readings have increased to 25 mmHg
What is ICP
A 28-year-old male with Type 1 diabetes presents with rapid breathing and fruity breath odor. His blood glucose is 300 mg/dL.
What is DKA
A patient with a history of deep vein thrombosis (DVT) who takes cotntraception is at an increased risk for which condition?
What is PE
A 70-year-old patient with a history of heart failure collapses and is unresponsive. The nurse arrives and checks for a pulse but finds none. Which of the following is the correct first action?
What is Starting chest compressions
The patient presented to the Emergency Department with orthopnea, crackles, cough
What is pulmonary edema
What type of neurological condition resembles whiplash
coup contracoup
"A post-operative patient who had pituitary surgery is complaining of extreme thirst and has a urine output of 6 liters in 24 hours. His serum sodium is 154 mEq/L, and his urine specific gravity is 1.002. What condition is suspected?"
What is Diabetes Insipidus?
A patient with a chest tube shows signs of increased shortness of breath, decreased breath sounds, and a sudden increase blodd drainage from the tube. What is the nurse’s most likely concern?
hemothorax
A 72-year-old patient with pneumonia presents with fever, chills, hypotension, and tachycardia. Blood cultures reveal the presence of Streptococcus pneumoniae. Which of the following interventions should the nurse prioritize?
what is Administering antibiotics
A patient with a history of blunt chest trauma is admitted to the hospital with a suspected hemothorax. Which of the following is the most common clinical sign of a hemothorax?
What is Hypotension and tachycardia
A 60-year-old female with a known brain tumor is being monitored She suddenly becomes unresponsive, has unequal pupils, and exhibits irregular breathing, posturing and widened pulse pressure
What are late signs of Increased intracranial pressure
A 30-year-old male presents with complaints of extreme thirst and passing large volumes of clear, dilute urine. He is diagnosed with central diabetes insipidus (DI). What is the priority nursing intervention to manage this patient's symptoms?
What is administering desmopressin (DDAVP)
A patient with suspected pleural effusion undergoes a chest X-ray, which confirms the presence of fluid in the pleural space. What is the next best diagnostic test to assess the nature of the fluid?
What is thoracentesis
A 75-year-old patient presents with hypotension, tachycardia, and cool, clammy skin following significant blood loss from gastrointestinal bleeding. Which intervention should the nurse prioritize?
what is Administering intravenous fluids
A 60-year-old patient with a history of heart failure presents to the emergency department with shortness of breath, orthopnea, and increased respiratory rate. The nurse auscultates bilateral crackles and notices cyanosis around the lips. What is the most likely diagnosis?
what is pulmonary edema
A 52-year-old female arrives at the emergency department complaining of the "worst headache of her life," nausea vomiting. She also has a stiff neck on examination.
What is a SAH or ruptured anurysm
This is the priority intervention for a patient with DKA and hhns?
What is IV fluid replacement?
A nurse is caring for a patient with a pulmonary embolism who is receiving thrombolytic therapy. What should be prioritized in the nursing care plan?
what is Monitoring for bleeding
A 50-year-old patient with neurogenic shock following a spinal cord injury is receiving norepinephrine to support blood pressure. The nurse notes the patient is still experiencing bradycardia despite the medication. What medication would the nurse administer
what is administer atropine to increase the heart rate
A 40-year-old male patient with a history of smoking presents with primary pneumothorax. The nurse is educating the patient about the risk factors. Which of the following factors is most associated with an increased risk of spontaneous pneumothorax?
what is smoking
A patient with a recent head injury is brought to the emergency department. Upon assessment, you note that the patient has a Glasgow Coma Scale (GCS) score of 10, is confused for 1 hour, and has persistant headache
What is Moderate TBI
A 72-year-old patient with a history is admitted to the emergency department with confusion, weakness, and extreme thirst. The patient is severely dehydrated, and laboratory tests show a blood glucose level of 950 mg/dL and a serum osmolality of 320 mOsm/kg. What is the most likely diagnosis?
what is Hyperosmolar hyperglycemic state (HHS)
A 60-year-old patient presents with a large hemothorax following a motor vehicle accident. The patient is in shock, with decreased breath sounds on the left side. What is the most likely cause of shock in this patient?
What is Severe hypovolemia from blood loss
A 50-year-old patient with a history of deep vein thrombosis (DVT) presents with hypotension, tachypnea, and signs of hypoxia. The nurse suspects obstructive shock due to a massive pulmonary embolism. Which of the following treatments should be prioritized?
what is Administer anticoagulants and thrombolytics to dissolve the embolism
A 40-year-old patient develops a pneumothorax after a needle thoracentesis procedure. The nurse notes decreased breath sounds and a shift in the trachea toward the unaffected side. What type of pneumothorax has happened
What is iatrogenic pneumothorax