Adult Client Admitted Question & Answer Guide (With Explanation)

This question focuses on applying theory to practical scenarios.

What This Question Is About

This question relates to adult client admitted and requires a structured academic response.

How to Approach This Question

Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves adult client admitted. A strong answer should include explanation, application, and examples.

Original Question

An adult client is admitted to the emergency department with sanguineous drainage from a scalp wound and coming from both ears following falling from a tree while trimming it. Which action is most important for the nurse to take? a. Provide sterile wound care and sterile non stick dressing. b. Asses for periorbital swelling and ecchymosis. c. Determine client’s response on the Glasgow coma scale. d. Ask the family if the client has an advanced directive A client requiring an emergency intubation is placed on a mechanical ventilator. The endotracheal tube (ETT) is secured at 23 cm. Which assessment should the nurse communicate immediately to the healthcare provider? a. Blood tinged mucous with suctioning. b. Spontaneous respiratory effort c. Diminished left lung sounds. d. Bilateral expiratory wheezes. The nurse is evaluating a client’s central venous pressure (CVP) readings that are trending upwards. Which nursing problem is supported by the pathophysiologic mechanism most likely causing the increases? a. Decreased cardiac output. b. Ineffective peripheral tissue perfusion. c. Deficient fluid volume. d. Ineffective airway clearance. After an endotracheal tube is placed for a client who requires mechanical ventilation, which intervention should the nurse implement first? a. Call the respiratory therapist to verify tube placement. b. Auscultate for breath sounds bilaterally in all lung fields. c. Obtain a chest x-ray to verify endotracheal tube location. d. Install normal saline into the endotracheal tube for suctioning. While caring for a client with a pulmonary artery catheter, at which point should the nurse measure the pulmonary artery wedge pressure (PAWP)? a. Along with the T waveform b. During the QRS waveform. c. At the end of inspiration. d. At the end of expiration. A client with a BMI of 60.2 kg/m2 is admitted to the intensive care unit 3 weeks after gastric bypass with gastric rupture and impending multiple organ dysfunction syndrome (MODS). Which intervention should the nurse prepare to implement first? a. Mechanical ventilation. b. Platelet transfusion. c. Loop diuretic therapy. d. Cyanocobalamin administration.

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