1. Multiple Choice: When assessing a client with acute respiratory
distress syndrome (ARDS), which of the following interventions
should the nurse prioritize?
a) Positioning the client in a high Fowler's position
b) Administering a sedative
c) Initiating mechanical ventilation
d) Providing oral fluids
Correct Answer: c) Initiating mechanical ventilation
Rationale: In ARDS, the client's oxygenation is severely
compromised, making mechanical ventilation crucial to ensure
adequate oxygen delivery to the tissues.
2. True/False: In a client with septic shock, capillary refill time is
a reliable indicator of effective perfusion.
Answer: False
Rationale: Capillary refill time can be affected by various
factors and may not accurately reflect perfusion status in a
critically ill client.
3. Fill-in-the-Blank: The primary goal of __________ therapy is
to optimize cardiac performance in clients with heart failure.
Correct Answer: Inotropic
Rationale: Inotropic therapy strengthens the force of the
heartbeat, improving cardiac output and perfusion.
4. Multiple Choice: A nurse is caring for a client with a traumatic
brain injury. Which of the following is the most important
parameter to monitor?
a) Blood glucose levels
b) Intracranial pressure (ICP)
c) Serum potassium levels
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