Exam 62: Nursing Management: Critical Care Environment

When evaluating a patient with a central venous catheter,the nurse observes that the insertion site is red and tender to touch and the patient's temperature is 101.8° F.What should the nurse plan to do next?

Which hemodynamic parameter is most appropriate for the nurse to monitor to determine the effectiveness of medications given to a patient to reduce left ventricular afterload?

The 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 next?

When caring for a patient with pulmonary hypertension,which parameter is most appropriate for the nurse to monitor to evaluate the effectiveness of the treatment?

After change-of-shift report on a ventilator weaning unit,which patient should the nurse assess first?

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

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

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

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?

A 68-year-old patient has been in the intensive care unit for 4 days and has a nursing diagnosis of disturbed sensory perception related to sleep deprivation.Which action should the nurse include in the plan of care?

While waiting for cardiac transplantation,a patient with severe cardiomyopathy has a ventricular assist device (VAD)implanted.When planning care for this patient,the nurse should anticipate

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

The central venous oxygen saturation (ScvO₂)is decreasing in a patient who has severe pancreatitis.To determine the possible cause of the decreased ScvO₂,the nurse assesses the patient's

To verify the correct placement of an oral endotracheal tube (ET)after insertion,the best initial action by the nurse is to

When assisting with the placement of a pulmonary artery (PA)catheter,the nurse notes that the catheter is correctly placed when the monitor shows a

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?

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

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

Which action will the nurse need to do when preparing to assist with the insertion of a pulmonary artery catheter?

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].)