1. 1. A male client with stomach cancer returns to the

unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's

solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood

in the suction canister, the client's heart rate is 155

beats/minute, and his blood pressure is 78/48 mmHg.

In addition to reporting the finding to the surgeon.

Which action should the nurse implement first?

2. 2. an adult male who fell 20 feet from the roof of this

home has multiple injuries, including a right pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the intensive care unit (ICU). the nurse notes that the suction

control chamber is bubbling at the

- 10 cm H2O mark, with fluctuation in the water seal,

and over the past hour 75 ml of bright red blood is

measured in the collection chamber.Which intervention should the nurse implement?

3. 3. A client who received hemodialysis yesterday is

experiencing a blood pressure of 200/100 mmHg,

heart rate 110 beats/minute, and respiratory rate 36

breaths/minute.The client is manifesting shortness

of breath, bilateral 2+ pedal edema, and an oxygen

saturation on room air of 89%. Which action should

the nurse take first?

4. 4. A client with Addison's crisis is admitted for treatment with adrenal cortical supplementation. Based

on the client's admitting diagnosis, which findings

require immediate action by the nurse? (Select all

that apply)

5. 5. An older client is admitted with fluid volume deficit

and dehydration.Which assessment finding is the

d. Increase the infusion rate of Lactated Ringer's solution.

a. Add sterile water to the suction

control chamber.

c. Begin supplemental oxygen.

Headache and

tremors

Irregular heart

rate

pallor and diaphoresis

d. Skin tenting

occurs when the