Exam 66: Nursing Management: Critical Care

When caring for a patient who has an intraaortic balloon pump in place, which action will be included in the plan of care?

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

A patient has a nursing diagnosis of disturbed sensory perception related to sleep deprivation. Which action will the nurse include in the plan of care?

Premature ventricular contractions (PVCs) occur while the nurse is suctioning a patient's endotracheal tube. Which action by the nurse is best?

When the ventilator alarm sounds, the nurse finds the patient lying in bed holding the endotracheal tube (ET). Which action should the nurse take first?

The nurse notes that a patient's endotracheal tube (ET), which was at the 21-cm mark, is now at the 24-cm mark and the patient appears anxious and restless. Which action should the nurse take first?

The nurse notes thick, white respiratory secretions from a patient who is receiving mechanical ventilation. Which intervention will be most effective in resolving this problem?

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?

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

When the charge nurse is evaluating 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 is caring for a patient receiving a continuous norepinephrine ( Levophed ) IV infusion. Which patient assessment information indicates that the infusion rate may be too high?

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

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 7.50, PaO₂ of 80 mm Hg, PaCO₂ of 29 mm Hg, and HCO₃- of 23 mEq/L ( 23 mmol/L ). The nurse will anticipate the need to

While waiting for cardiac transplantation, a patient with severe heart failure has a ventricular assist device (VAD ) implanted. When developing the plan of care, the nursing actions should include

While assessing a patient with a central venous catheter, the nurse notes the catheter insertion site is red and tender and the patient's temperature is 101.8° F. The nurse will plan to

A patient's vital signs are pulse 80, respirations 24, and BP of 124/60 mm Hg and cardiac output is 4.8 L/min. What is the patient's stroke volume? ____________________

An elderly patient who has stabilized after being in the intensive care unit (ICU) for a week is preparing for transfer to the step down unit when the nurse notices that the patient has new onset confusion. The nurse will plan to

When caring for a patient who has an arterial catheter in the radial artery to monitor blood pressure, which information obtained by the nurse is most important to report to the health care provider?

A patient with a subarachnoid hemorrhage is intubated and placed on a mechanical ventilator. When monitoring the patient, the nurse will need to notify the health care provider if the patient develops

Following surgery, a patient's central venous pressure (CVP) monitor indicates low pressures. Which action will the nurse anticipate taking?