Exam 66: Nursing Management: Critical Care

When caring for the patient with a pulmonary artery pressure catheter, the nurse notes that the PA wave form indicates that the catheter is in the wedged position. Which action should the nurse take?

A patient who has respiratory failure and is receiving mechanical ventilation has a nursing diagnosis of risk for injury related to asynchrony with the ventilator secondary to anxiety. The nurse's first action should be to

An intra-aortic balloon pump (IABP) is being used for a patient who is in cardiogenic shock. An assessment finding indicating to the nurse that the goals of treatment with the IABP are being met is a

A patient with left ventricular failure is admitted to the coronary care unit (CCU). When monitoring for the effectiveness of treatment, the most important information for the nurse to obtain is

A patient with an oral endotracheal tube (ET) has a nursing diagnosis of risk for aspiration related to the presence of an artificial airway. The most appropriate nursing intervention for the patient is to

The charge nurse evaluates the care that a new RN staff member provides to a patient receiving mechanical ventilation. Which action by the new RN indicates the need for more education?

The nurse develops the diagnosis of ineffective airway clearance related to thick respiratory secretions for a patient with respiratory failure who is receiving mechanical ventilation. Which intervention will be most effective in resolving this problem?

The mixed venous oxygen saturation (SvO₂) is decreasing in a patient with hemodynamic monitoring who has severe pancreatitis. The patient's PaO₂ and cardiac output are stable. To determine the possible cause of the decreased SvO₂, the nurse assesses the patient's

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

When the ventilator alarm sounds, the nurse finds the patient lying in bed holding the endotracheal tube (ET). The first intervention by the nurse is to

An arterial catheter is inserted in the right brachial artery to monitor a patient's blood pressure. Which information obtained by the nurse indicates that a complication of arterial pressure monitoring may be occurring?

When assisting with insertion of a pulmonary artery (PA) catheter, the nurse identifies that the catheter is correctly placed when the

When preparing to assist with the insertion of a pulmonary artery catheter, the nurse will anticipate the need to

During hemodynamic monitoring, the nurse finds that a patient has decreased cardiac output (CO) without changes in pulmonary artery wedge pressure (PAWP) or systemic vascular resistance (SVR). The nurse anticipates assisting with interventions to

Several 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 first?

A patient is admitted to the emergency department comatose and apneic with suspected head and neck injuries after falling from a roof. Which equipment will the nurse anticipate needing for emergency airway maintenance?

Which action by a new RN who is caring for a patient with an intraaortic balloon catheter inserted in the left femoral artery will require immediate intervention by the ICU charge nurse?

The nurse identifies a nursing diagnosis of disturbed sensory perception related to sleep deprivation for a patient in the ICU. An appropriate nursing intervention for this problem is to

To inflate the cuff of an endotracheal tube (ET) when the patient is on mechanical ventilation, the nurse

A patient in heart failure following an acute myocardial infarction has a pulmonary artery catheter inserted. To determine whether the administration of drugs to decrease preload and afterload has been effective, the nurse should monitor the