A nurse is caring for a patient the ER who has sustained five fractured ribs from blunt chest trauma. The patient is rating pain 9 out of 10 on a 0-10 scale. The patient is also experiencing a higher than normal b/p and is very restless due to the intense pain. For which pain management strategy should the nurse advocate for?
A patient presents to the emergency department demonstrating…
A patient presents to the emergency department demonstrating agitation and complaining of numbness and tingling in his fingers. His arterial blood gas levels reveal the following: pH 7.51, PaCO2 25, HCO3 25. The nurse interprets these blood gas values as:
Which manifestations in a client receiving oxygen therapy at…
Which manifestations in a client receiving oxygen therapy at 60% for more than 24 hours would alert the nurse to the possibility of oxygen toxicity?
The nurse is caring for a patient who is being mechanicallly…
The nurse is caring for a patient who is being mechanicallly ventilated. What strategies have been shown (Evidence-based practice) to prevent ventilator-accquired pneumonia (VAP)?
A patient is injured in a motor-vehicle crash and is transpo…
A patient is injured in a motor-vehicle crash and is transported to the emergency department. The healthcare provider determines the need for an immediate thoracotomy and chest tube insertion and anticipates the need for maximal suction pressure. The appropriate type of closed-chest drainage system for this patient is a
The pilot balloon on the endotracheal tube of a client being…
The pilot balloon on the endotracheal tube of a client being mechanically ventilated is deflated. What is the consequence of this situation?
A patient has coronary artery bypass graft surgery and is tr…
A patient has coronary artery bypass graft surgery and is transported to the surgical intensive care unit at noon and is placed on mechanical ventilation. Interpret the initial arterial blood gas levels pH: 7.31PaCO2: 48 mm Hg(HCO3) Bicarbonate: 22 mEq/LPaO2: 115 mm HgO2 saturation: 99%
The patient has the following ABG results: pH 7.30, PaO2 50,…
The patient has the following ABG results: pH 7.30, PaO2 50, Co2 45, HcO3 22. What ventilator change would the nurse anticipate?
A nurse is caring for a patient who has a tracheostomy tube…
A nurse is caring for a patient who has a tracheostomy tube in place. During routine trach care, which of the following should the nurse place underneath the flanges of the outer cannula?
A patient who suffered a head injury is intubated and receiv…
A patient who suffered a head injury is intubated and receiving mechanical ventilation via the Assist Control (AC) mode. The nurse understands that this means which of the following?