The ICU Nurse Is Required to Closely Monitor Four Clients

question 19

Multiple Choice

The ICU nurse is required to closely monitor four clients diagnosed with shock. During the shift assessment, the nurse documents the following values for the clients. Which client is most stable?

• A) Client A: Heart rate 70 beats per minute, systolic blood pressure (BP) 100 mm Hg, urine output 30 mL/hour
• B) Client B: Capillary refill time between 7 and 10 seconds, urine output 35 mL/hour
• C) Client C: Heart rate 115 beats per minute, systolic BP 129 mm Hg, urine output 60 mL/hour
• D) Client D: Capillary refill time between 5 and 6 seconds, urine output 30 mL/hour

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Definitions:

Perceived Inequity

The feeling of being unfairly treated when comparing one's own effort-reward ratio to the effort-reward ratio of others.

Equity of Fairness

A principle of justice that emphasizes fair treatment and equal opportunities for all individuals.

Work Ethic

The principle that hard work is intrinsically virtuous or worthy, often reflected in a person's attitudes toward their job.

Goal-Setting Theory

A motivational theory that emphasizes the significance of setting specific, measurable, achievable, relevant, and time-bound goals to improve performance.