The nurse is aware that immediately post-insertion of an endotracheal tube, a chest x-ray is done to:
The nurse is monitoring a client who is being weaned from me…
The nurse is monitoring a client who is being weaned from mechanical ventilation by a trial of spontaneous breathing. The client, prior to weaning, had a blood pressure of 126/70, heart rate of 72, and respiratory rate of 12. Which of the following signs or symptoms would best indicate the client is not tolerating the weaning process?
While reviewing the medications ordered for a client with ac…
While reviewing the medications ordered for a client with acute renal failure who has been admitted to the ICU, the nurse notes an order for Mannitol, which is used to:
The client has been diagnosed with acute renal failure and i…
The client has been diagnosed with acute renal failure and is to be dialyzed in the next few hours after placement of temporary access. Currently, the nurse is administering intravenous glucose (ampule of D50) and insulin IVP to correct:
The nurse is caring for a client admitted to the intensive c…
The nurse is caring for a client admitted to the intensive care unit (ICU). The client’s arterial blood gas (ABG) revealed the following: pH – 7.30, PaCO2 – 44, HCO3 – 20, PaO2 – 78.Determine the compensation status, acid-base imbalance, and the oxygenation status (hypoxemic/low, adequate/normal, overoxygenated/high) from the choices below.
The nurse is aware that pulmonary edema will lead to an alve…
The nurse is aware that pulmonary edema will lead to an alveolar dead space VQ mismatch.
The nurse is aware that the atelectasis associated with acut…
The nurse is aware that the atelectasis associated with acute respiratory distress syndrome (ARDS) and acute lung injury (ALI) may be managed or reversed with the use of:
The nurse is doing a physical assessment of the client admit…
The nurse is doing a physical assessment of the client admitted to the ER with complaints of shortness of breath. The nurse would document the presence of atelectasis and areas of consolidation if the following was auscultated:
The nurse is caring for a client on mechanical ventilation w…
The nurse is caring for a client on mechanical ventilation with 10 cmH2O of PEEP. The client suddenly becomes dyspneic. The trachea is deviated toward the left and breath sounds are absent on the right side. The nurse suspects:
The client is mechanically ventilated on assist control (AC)…
The client is mechanically ventilated on assist control (AC) mode with a respiratory rate of 18 breaths per minute. The client is very agitated and seems to be fighting the ventilator. The alarm is indicating high pressure. Which of the following actions would be most beneficial?