Exam 66: Nursing Management: Critical Care

A patient's vital signs are pulse 87,respirations 24,and BP of 128/64 mm Hg and cardiac output is 4.7 L/min.The patient's stroke volume is _____ mL.(Round to the nearest whole number.)

When caring for a patient who has an arterial catheter in the left radial artery for arterial pressure-based cardiac output (APCO)monitoring,which information obtained by the nurse is most important to report to the health care provider?

An intraaortic balloon pump (IABP)is being used for a patient who is in cardiogenic shock.Which assessment data indicate to the nurse that the goals of treatment with the IABP are being met?

An 81-year-old patient who has been in the intensive care unit (ICU)for a week is now stable and transfer to the progressive care unit is planned.On rounds,the nurse notices that the patient has new onset confusion.The nurse will plan to

When assisting with oral intubation of a patient who is having respiratory distress,in which order will the nurse take these actions? (Put a comma and a space between each answer choice [A,B,C,D,E].) A) Obtain a portable chest-x-ray. B) Position the patient in the supine position. C) Inflate the cuff of the endotracheal tube after insertion. D) Attach an end-tidal CO₂ detector to the endotracheal tube. E) Oxygenate the patient with a bag-valve-mask device for several minutes.

To maintain proper cuff pressure of an endotracheal tube (ET)when the patient is on mechanical ventilation,the nurse should

Which assessment finding obtained by the nurse when caring for a patient with a right radial arterial line indicates a need for the nurse to take immediate action?

While family members are visiting,a patient has a respiratory arrest and is being resuscitated.Which action by the nurse is best?

The nurse is caring for a patient who has an intraortic balloon pump (IABP)following a massive heart attack.When assessing the patient,the nurse notices blood backing up into the IABP catheter.In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].) A) Ensure that the IABP console has turned off. B) Assess the patient's vital signs and orientation. C) Obtain supplies for insertion of a new IABP catheter. D) Notify the health care provider of the IABP malfunction.

Which assessment finding obtained by the nurse when caring for a patient receiving mechanical ventilation indicates the need for suctioning?

The central venous oxygen saturation (ScvO₂)is decreasing in a patient who has severe pancreatitis.To determine the possible cause of the decreased ScvO₂,the nurse assesses the patient's

The nurse is caring for a patient receiving a continuous norepinephrine (Levophed)IV infusion.Which patient assessment finding indicates that the infusion rate may need to be adjusted?

Which action is a priority for the nurse to take when the low pressure alarm sounds for a patient who has an arterial line in the left radial artery?

The intensive care unit (ICU)nurse educator will determine that teaching about arterial pressure monitoring for a new staff nurse has been effective when the nurse

The nurse notes thick,white secretions in the endotracheal tube (ET)of a patient who is receiving mechanical ventilation.Which intervention will be most effective in addressing this problem?

When caring for a patient with pulmonary hypertension,which parameter is most appropriate for the nurse to monitor to evaluate the effectiveness of the treatment?

After change-of-shift report,which patient should the progressive care nurse assess first?

The nurse notes premature ventricular contractions (PVCs)while suctioning a patient's endotracheal tube.Which action by the nurse is a priority?

After change-of-shift report on a ventilator weaning unit,which patient should the nurse assess first?

Which action will the nurse need to do when preparing to assist with the insertion of a pulmonary artery catheter?