The patient has signs of hypovolemic shock, which is characterized by low MAP, low PAOP, low CI, and high SVR. The patient needs fluid resuscitation to restore intravascular volume and improve tissue perfusion. Loop diuretic, vasopressors, and whole blood are not indicated in this case.

References :

Reference Guide for CCRN (Adult), page 14.

Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online - Individual Purchase , Module 1: Cardiovascular, Part 1: Shock.

When a patient has been declared brain dead, the appropriate initial action for a nurse who has not previously discussed organ donation with a family is to consult the organ donation liaison. These professionals are trained to handle sensitive conversations about organ donation and can provide the necessary support and information to the family, ensuring that the process is handled respectfully and in accordance with legal and ethical guidelines. References : =

CCRN (Adult) Certification Review Course Online: Professional Caring and Ethical Practice.

American Association of Critical-Care Nurses (AACN). (2024). CCRN Exam Handbook. Retrieved from AACN CCRN Exam Handbook

Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online. AACN

For an oncology patient presenting with hematuria and bleeding from injection sites, reviewing the coagulation panel first is crucial. This test will provide information on the patient ' s clotting status, helping to identify potential coagulopathies such as disseminated intravascular coagulation (DIC), which is common in cancer patients. References : = AACN Certification and Core Review for High Acuity and Critical Care, 7th Edition, AACN Handbook for CCRN Certification, pp. 112-115.

Laboratory values diagnostic for disseminated intravascular coagulation (DIC) include increased prothrombin time (PT), partial thromboplastin time (PTT), and fibrin split products (FSP), also known as fibrin degradation products (FDP). These increases indicate widespread clotting and subsequent fibrinolysis, which are characteristic of DIC. The consumption of clotting factors and platelets in DIC leads to prolonged clotting times and elevated levels of fibrin degradation products. References : = CCRN Exam Handbook, page 42

Mild, intermittent diarrhea in a patient receiving continuous enteral feedings can often be managed by reviewing and possibly adjusting the feeding formula. This approach can address potential intolerance or sensitivity to the current formula. An abdominal x-ray or considering PICC line placement are not appropriate first-line responses to mild diarrhea, and holding feedings without further assessment could negatively impact the patient ' s nutritional status. References : = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course