Exam 65: Critical Care

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

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?

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

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

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?

An 81-yr-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

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

The nurse is 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 requires a report to the health care provider?

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?

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?

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].)

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?

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

Which hemodynamic parameter best reflects the effectiveness of drugs that the nurse gives to reduce a patient's left ventricular afterload?

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

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

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

A patient's vital signs are pulse 90,respirations 24,and BP 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 monitoring the effectiveness of treatment for a patient with a large anterior wall myocardial infarction,the most pertinent measurement for the nurse to obtain is

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