Exam 66: Nursing Management: Critical Care

When caring for the patient with a pulmonary artery (PA)pressure catheter,the nurse observes that the PA waveform indicates that the catheter is in the wedged position.Which action should the nurse take next?

A 68-year-old patient has been in the intensive care unit for 4 days and has a nursing diagnosis of disturbed sensory perception related to sleep deprivation.Which action should the nurse include in the plan of care?

When monitoring for the effectiveness of treatment for a patient with a large anterior wall myocardial infarction,the most important information for the nurse to obtain is

Four hours after mechanical ventilation is initiated for a patient with chronic obstructive pulmonary disease (COPD),the patient's arterial blood gas (ABG)results include a pH of 7.51,PaO₂ of 82 mm Hg,PaCO₂ of 26 mm Hg,and HCO₂- of 23 mEq/L (23 mmol/L).The nurse will anticipate the need to

The nurse educator is evaluating the performance of a new registered nurse (RN)who is providing care to a patient who is receiving mechanical ventilation with 15 cm H₂O of peak end-expiratory pressure (PEEP).Which action indicates that the new RN is safe?

The nurse is caring for a patient with a subarachnoid hemorrhage who is intubated and placed on a mechanical ventilator with 10 cm H₂O of peak end-expiratory pressure (PEEP).When monitoring the patient,the nurse will need to notify the health care provider immediately if the patient develops

A patient who is orally intubated and receiving mechanical ventilation is anxious and is "fighting" the ventilator.Which action should the nurse take next?

The nurse is caring for a patient who has an intraaortic balloon pump in place.Which action should be included in the plan of care?

A nurse is weaning a 68-kg male patient who has chronic obstructive pulmonary disease (COPD)from mechanical ventilation.Which patient assessment finding indicates that the weaning protocol should be stopped?

The family members of a patient who has just been admitted to the intensive care unit (ICU)with multiple traumatic injuries have just arrived in the ICU waiting room.Which action should the nurse take next?

When evaluating a patient with a central venous catheter,the nurse observes that the insertion site is red and tender to touch and the patient's temperature is 101.8° F.What should the nurse plan to do next?

While waiting for cardiac transplantation,a patient with severe cardiomyopathy has a ventricular assist device (VAD)implanted.When planning care for this patient,the nurse should anticipate

Following surgery for an abdominal aortic aneurysm,a patient's central venous pressure (CVP)monitor indicates low pressures.Which action is a priority for the nurse to take?

To verify the correct placement of an oral endotracheal tube (ET)after insertion,the best initial action by the nurse is to

A patient with respiratory failure has arterial pressure-based cardiac output (APCO)monitoring and is receiving mechanical ventilation with peak end-expiratory pressure (PEEP)of 12 cm H₂O.Which information indicates that a change in the ventilator settings may be required?

The nurse notes that a patient's endotracheal tube (ET),which was at the 22-cm mark,is now at the 25-cm mark and the patient is anxious and restless.Which action should the nurse take next?

A patient who is receiving positive pressure ventilation is scheduled for a spontaneous breathing trial (SBT).Which finding by the nurse is most important to discuss with the health care provider before starting the SBT?

Which hemodynamic parameter is most appropriate for the nurse to monitor to determine the effectiveness of medications given to a patient to reduce left ventricular afterload?

When assisting with the placement of a pulmonary artery (PA)catheter,the nurse notes that the catheter is correctly placed when the monitor shows a

The nurse educator is evaluating the care that a new registered nurse (RN)provides to a patient receiving mechanical ventilation.Which action by the new RN indicates the need for more education?