Adult Health III Final Exam correct
Answers 2023
The nurse is caring for a patient who has septic shock. Which assessment finding is
most important for the nurse to report to the health care provider?
a. skin cool and clammy
b. heart rate of 118 beats/min
c. blood pressure of 92/56
d. O2 saturation of 93% on room air - **Answer: a
Which assessment finding by the nurse caring for a patient receiving mechanical
ventilation indicates the need for suctioning?
a. the patient's respiratory rate is 32 breaths/min
b. the patient has occasional audible expiratory wheezes
c. the patient's oxygen saturation drops to 93%
d. the patient was last suctioned 6 hours ago - **Answer: a
The nurse in the emergency department is caring for a client with a history of smoking
who is obese and admitted with epigastric pain. The client is diagnosed with abdominal
aortic aneurysm after having an X-ray. During assessment the nurse notes ecchymosis
to the client's back side. Which of the following actions would be priority for the nurse to
take?
a. prepare the client for a blood transfusion
b. obtain informed consent for emergency surgery
c. obtain the client's blood pressure
d. assess the client's lung sounds - **Answer: b
The nurse is caring for a client who is experiencing neurogenic shock after a spinal cord
injury. The nurse has taught the client's spouse about neurogenic shock. Which of the
following statements by the client's spouse requires follow-up?
a. this type of shock causes excessive urine loss
b. my spouse may have difficulty maintaining normal body temperature
c. this type of shock causes the heart rate to be too low
d. my spouse is receiving medicine to keep the blood pressure high enough - **Answer:
a
The nurse is caring for a client who was exposed to inhalation anthrax and is to receive
prescribed ciprofloxacin 800mg, once per day, IV for 60 days. The nurse has
800mg/250mL in D5W to be infused over 2 hours. How many mL per hour should the
nurse administer? Do not round your answer. Enter numeric value only. - **Answer:
125
