Exam 32: Care of Critically Ill Patients with Respiratory Problems

A client has been brought to the emergency department with a life-threatening chest injury.What action by the nurse takes priority?

The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure.What age-related changes contribute to this? (Select all that apply.)

A client appears dyspneic,but the oxygen saturation is 97%.What action by the nurse is best?

A student nurse asks for an explanation of "refractory hypoxemia." What answer by the nurse instructor is best?

A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about.What action by the nurse is most appropriate?

An intubated client's oxygen saturation has dropped to 88%.What action by the nurse takes priority?

A client is brought to the emergency department after sustaining injuries in a severe car crash.The client's chest wall does not appear to be moving normally with respirations,oxygen saturation is 82%,and the client is cyanotic.What action by the nurse is the priority?

A nurse is caring for a client on the medical stepdown unit.The following data are related to this client: What action by the nurse is most appropriate?

A client has been diagnosed with a very large pulmonary embolism (PE)and has a dropping blood pressure.What medication should the nurse anticipate the client will need as the priority?

A client is on intravenous heparin to treat a pulmonary embolism.The client's most recent partial thromboplastin time (PTT)was 25 seconds.What order should the nurse anticipate?

A client is on a ventilator and is sedated.What care may the nurse delegate to the unlicensed assistive personnel (UAP)?

A nurse is preparing to admit a client on mechanical ventilation from the emergency department.What action by the nurse takes priority?

A client has a pulmonary embolism and is started on oxygen.The student nurse asks why the client's oxygen saturation has not significantly improved.What response by the nurse is best?

A client with a new pulmonary embolism (PE)is anxious.What nursing actions are most appropriate? (Select all that apply.)

A nurse answers a call light and finds a client anxious,short of breath,reporting chest pain,and having a blood pressure of 88/52 mm Hg on the cardiac monitor.What action by the nurse takes priority?

A client is on mechanical ventilation and the client's spouse wonders why ranitidine (Zantac)is needed since the client "only has lung problems." What response by the nurse is best?

The nurse caring for mechanically ventilated clients uses best practices to prevent ventilator-associated pneumonia.What actions are included in this practice? (Select all that apply.)

A client is admitted with a pulmonary embolism (PE).The client is young,healthy,and active and has no known risk factors for PE.What action by the nurse is most appropriate?

A nurse is caring for four clients on intravenous heparin therapy.Which laboratory value possibly indicates that a serious side effect has occurred?

A client is being discharged soon on warfarin (Coumadin).What menu selection for dinner indicates the client needs more education regarding this medication?