Exam 62: Nursing Management: Critical Care Environment

Which assessment finding obtained by the nurse when caring for a patient receiving mechanical ventilation indicates the need for suctioning?

When monitoring for the effectiveness of treatment for a patient with a large anterior wall myocardial infarction,the most important information for the nurse to obtain is

The nurse educator is evaluating the care that a new registered nurse (RN)provides to a patient receiving mechanical ventilation.Which action by the new RN indicates the need for more education?

While family members are visiting,a patient has a respiratory arrest and is being resuscitated.Which action by the nurse is best?

To maintain proper cuff pressure of an endotracheal tube (ET)when the patient is on mechanical ventilation,the nurse should

After change-of-shift report,which patient should the progressive care nurse assess first?

The nurse notes that a patient's endotracheal tube (ET),which was at the 22-cm mark,is now at the 25-cm mark and the patient is anxious and restless.Which action should the nurse take next?

An 81-year-old patient who has been in the intensive care unit (ICU)for a week is now stable and transfer to the progressive care unit is planned.On rounds,the nurse notices that the patient has new onset confusion.The nurse will plan to

The nurse is caring for a patient receiving a continuous norepinephrine (Levophed)IV infusion.Which patient assessment finding indicates that the infusion rate may need to be adjusted?

A patient who is receiving positive pressure ventilation is scheduled for a spontaneous breathing trial (SBT).Which finding by the nurse is most important to discuss with the health care provider before starting the SBT?

The nurse notes thick,white secretions in the endotracheal tube (ET)of a patient who is receiving mechanical ventilation.Which intervention will be most effective in addressing this problem?

A patient's vital signs are pulse 87,respirations 24,and BP of 128/64 mm Hg and cardiac output is 4.7 L/min.The patient's stroke volume is _____ mL.(Round to the nearest whole number.)

An intraaortic balloon pump (IABP)is being used for a patient who is in cardiogenic shock.Which assessment data indicate to the nurse that the goals of treatment with the IABP are being met?

The nurse is caring for a patient who has an intraortic balloon pump (IABP)following a massive heart attack.When assessing the patient,the nurse notices blood backing up into the IABP catheter.In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].)

When caring for a patient who has an arterial catheter in the left radial artery for arterial pressure-based cardiac output (APCO)monitoring,which information obtained by the nurse is most important to report to the health care provider?

The nurse responds to a ventilator alarm and finds the patient lying in bed holding the endotracheal tube (ET).Which action should the nurse take next?

The nurse educator is evaluating the performance of a new registered nurse (RN)who is providing care to a patient who is receiving mechanical ventilation with 15 cm H?O of peak end-expiratory pressure (PEEP).Which action indicates that the new RN is safe?

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

A nurse is weaning a 68-kg male patient who has chronic obstructive pulmonary disease (COPD)from mechanical ventilation.Which patient assessment finding indicates that the weaning protocol should be stopped?

Which action is a priority for the nurse to take when the low pressure alarm sounds for a patient who has an arterial line in the left radial artery?