A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?

Initiate an IV dopamine infusion.

Begin an IV bolus of lactated Ringer's.

Perform neurological assessments.

Place the client supine.

Answer and Explanation

The Correct Answer is C

A hypertensive crisis is an emergent situation in which a marked elevation in diastolic blood pressure can cause end-organ damage.
The nurse should perform neurological assessments to monitor for any changes in the patient’s level of consciousness and other neurological symptoms.
Choice A is incorrect because dopamine is not typically used to treat hypertensive crises.
Choice B is incorrect because lactated Ringer’s solution is not typically used to treat hypertensive crises.
Choice D is incorrect because placing the client supine may not be appropriate and could potentially worsen their condition.

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Correct Answer is C

Explanation

Prealbumin is a protein that is produced by the liver and is used as a marker of nutritional status.
It has a short half-life, so changes in pre albumin levels can reflect recent changes in nutritional status.
Monitoring pre albumin levels can help assess the effectiveness of total parenteral nutrition.
Lipase is an enzyme that is produced by the pancreas and is not used to monitor overall nutritional status.
B) C-reactive protein is a marker of inflammation and is not used to monitor overall nutritional status.
D) Creatinine is a waste product that is produced by muscle metabolism and is not used to monitor overall nutritional status.

A. Urinary diuresis. B. Hypotension. C. Decreased respiratory rate. D. Bradycardia.

Correct Answer is B

Explanation

A full-thickness burn injury can result in fluid loss and low blood volume (hypovolemia), which can lead to hypotension.

Choice A, Urinary diuresis, is not the correct answer because it refers to increased production of urine and is not a common symptom of a full-thickness burn injury.
Choice C, Decreased respiratory rate, is not the correct answer because it refers to a decrease in the number of breaths per minute and is not a common symptom of a full-thickness burn injury.

Choice D, Bradycardia, is not the correct answer because it refers to a slow heart rate and is not a common symptom of a full-thickness burn injury.

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A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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