A patient's condition has deteriorated. Changes in condition include trachea shift, absence of breath sounds on the left side, and hypotension. The nurse suspects that the patient has developed a(n)
a. cardiac tamponade.
b. hemothorax.
c. open pneumothorax.
d. ruptured diaphragm.
Question 2When SIRS is the result of infection, it is called
a. inflammation.
b. anaphylaxis.
c. sepsis.
d. pneumonia.
Question 3Which of the following clinical manifestations is not suggestive of systemic inflammatory response syndrome (SIRS)?
a. Temperature of 37.5 C
b. Heart rate of 95 beats/min
c. Respiratory rate of 24 breath/min
d. White blood cell (WBC) count of 15,000 cells/mm3
Question 4A patient with type 2 diabetes is admitted. He is very lethargic and hypotensive. A diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made based on laboratory values of
a. decreased serum glucose and increased serum ketones.
b. increased urine ketones and decreased serum osmolality.
c. increased serum osmolality and increased serum potassium.
d. increased serum osmolality and increased serum glucose.
Question 5A patient was admitted with diabetic ketoacidosis 1 hour ago and is on an insulin drip. Suddenly, the nurse notices frequent premature ventricular contractions (PVCs) on the electrocardiogram. The expected intervention would be to
a. administer a lidocaine bolus.
b. administer a lidocaine drip.
c. synchronize cardioversion.
d. evaluate electrolytes.
Question 6The primary mechanism in the development of tumor lysis syndrome is
a. destruction of platelets by lymphocytic antibodies.
b. destruction of malignant cells through radiation or chemotherapy.
c. formation of heparin antibodies.
d. damage to the endothelium.
Question 7Which of the following previous medical conditions would indicate a patient at risk for developing HIT?
a. Sepsis
b. Deep vein thrombosis
c. Cardiac arrest
d. Pneumonia
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