Exam 68: Nursing Management Critical Care Environment

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

The nurse is caring for a client who requires medication to increase the contractility of the heart. Which of the following medications should the nurse anticipate administering for this client?

The nurse is caring for a client receiving a continuous norepinephrine IV infusion. Which of the following client assessment information indicates that the infusion rate may be too high?

Which of the following information obtained by the nurse when caring for a client receiving mechanical ventilation indicates the need for suctioning?

Which of the following actions should the nurse implement to verify the correct placement of an endotracheal tube (ET) after insertion?

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

Premature ventricular contractions (PVCs) occur while the nurse is suctioning a client's endotracheal tube. Which of the following actions by the nurse is best?

The nurse is monitoring for the effectiveness of treatment for a client with left ventricular failure. Which of the following assessments is most important for the nurse to evaluate?

In which order will the nurse take these actions when assisting with oral intubation of a client who is having respiratory distress? A)Obtain a portable chest-x-ray. B)Place the client in the supine position. C)Inflate the cuff of the endotracheal tube. D)Attach an end-tidal CO₂ detector to the endotracheal tube. E)Oxygenate the client with a bag-valve-mask system for several minutes.

The nurse is caring for an older-adult client who has stabilized after being in the intensive care unit (ICU) for a week and is preparing for transfer to the step down unit when the nurse notices that the client has new onset confusion. Which of the followingactions should the nurse implement?

The nurse is caring for a client who is in cardiogenic shock and has an intra-aortic balloon pump (IABP). Which of the following assessment findings indicates that the goals of treatment with the IABP are being met?

Which of the following actions should the nurse do to inflate the cuff of an endotracheal tube (ET) when the client is on mechanical ventilation?

The nurse is caring for a client with a left radial arterial line. Which of the following assessments indicates a need for the nurse to take action?

The nurse notes thick, white respiratory secretions from a client who is receiving mechanical ventilation. Which of the following interventions will be most effective in resolving this problem?

Which of the following actions should the nurse take when the low-pressure alarm sounds for a client who has an arterial line in the right radial artery?

The nurse is weaning a client who has chronic obstructive pulmonary disease (COPD) from mechanical ventilation. Which of the following client assessments indicates that the weaning protocol should be discontinued?

The charge nurse is evaluating the care that a new RN staff member provides to a client receiving mechanical ventilation. Which of the following actions by the new RN indicates the need for more education?

The intensive care unit nurse educator is teaching a new staff nurse about hemodynamic monitoring. Which of the following actions indicates that the teaching has been effective?

The nursing supervisor is evaluating the performance of a new RN who is caring for a client receiving mechanical ventilation with 10 cm of positive end-expiratory pressure (PEEP). Which of the following actions indicates that the new RN is practising safely?

The nurse is caring for a client with severe heart failure who has a ventricular assist device (VAD) implanted and is waiting for cardiac transplantation. Which of the following actions should the nurse include in the plan of care?