Exam 65: Critical Care

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 action?

When caring for a patient with pulmonary hypertension,which parameter will the nurse use to directly evaluate the effectiveness of the treatment?

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?

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

Four hours after mechanical ventilation is initiated,a patient's arterial blood gas (ABG)results include a pH of 7.51,PaO₂ of 82 mm Hg,PaCO₂ of 26 mm Hg,and HCO₃- of 23 mEq/L (23 mmol/L). The nurse will anticipate the need to

The family members of a patient who has 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 first?

The nurse responds to a ventilator alarm and finds the patient lying in bed gasping and holding the endotracheal tube (ET)in her hand. Which action should the nurse take next?

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

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

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

The nurse is caring for a patient who has an intraaortic balloon pump (IABP)after 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].)

Which nursing action is needed when preparing to assist with the insertion of a pulmonary artery catheter?

A patient who has been in the intensive care unit for 4 days has disturbed sensory perception from sleep deprivation. Which action should the nurse include in the plan of care?

A patient who is receiving positive pressure ventilation is scheduled for a spontaneous breathing trial (SBT). Which finding by the nurse is most likely to result in postponing the SBT?

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

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?

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 notes thick,white secretions in the endotracheal tube (ET)of a patient who is receiving mechanical ventilation. Which intervention will most directly treat this finding?

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

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