Exam 68: Nursing Management Critical Care Environment

The nurse is caring for a client following surgery whose central venous pressure (CVP) monitor indicates low pressures. Which of the following actions should the nurse anticipate implementing?

The nurse is caring for a client who has an arterial catheter in the radial artery to monitor blood pressure. Which of the following information obtained by the nurse is most important to report to the health care provider?

Four hours after mechanical ventilation is initiated for a client with chronic obstructive pulmonary disease (COPD), the client'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 mmol/L. The nursewill anticipate the need to do which of the following actions based upon these findings?

The family members of a client who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which of the following actions should the nurse take first?

The nurse is caring for a client receiving mechanical ventilation who is anxious and is "fighting" the ventilator. Which of the following actions should the nurse take first?

To determine the effectiveness of medications that a client has received to reduce left ventricular afterload, which of the following hemodynamic parameters should the nurse monitor?

The nurse is caring for a client who has severe pancreatitis and the mixed venous oxygen saturation (SvO2) is decreasing. Which of the following parameters should the nurse assess to determine the possible cause of the decreased SvO2?

The nurse is caring for a client with a head injury intubated and placed on a mechanical ventilator. When monitoring the client, which of the following findings should the nurse report to the health care provider?

The nurse is assessing a client with a central venous catheter and notes the catheter insertion site is red and tender and the client's temperature is 38.8°C (101.8°F). Which of the following actions should the nurse implement?

The nurse is assisting with insertion of a pulmonary artery (PA) catheter in a client. Which of the following data identifies that the catheter is correctly placed?

While family members are visiting, a client has a cardiac arrest and is being resuscitated. Which of the following actions by the nurse is best?

The nurse is preparing to assist with the insertion of a pulmonary artery catheter in a client. Which of the following actions will the nurse implement?

The nurse is caring for a client who has an intra-aortic balloon pump in place. Which of the following actions should be included in the plan of care?

The nurse is caring for a client with pulmonary hypertension. Which of the following parameters should the nurse monitor as an index of right ventricular afterload?

Aclient has a nursing diagnosis of disturbed sleep pattern related to difficulty maintaing sleep state. Which of the following actions should the nurse include in the plan of care?

The nurse is caring for the client with a pulmonary artery pressure catheter and notes that the PA waveform indicates that the catheter is in the wedged position. Which of the following actions should the nurse take?

When the ventilator alarm sounds, the nurse finds the client lying in bed holdingthe endotracheal tube (ET). Which of the following actions should the nurse take first?