The nurse is caring for a mechanically ventilated client wit…

The nurse is caring for a mechanically ventilated client with a traumatic brain injury who has an intracranial pressure (ICP) monitor in place. The current assessment findings are: BP 80/50 mm Hg, apical heart rate 60, respiratory rate 20, ICP 22 and temperature of 38*C.     The clients CPP pressure = ______________    

A client is admitted to the cardiac care unit with cardiogen…

A client is admitted to the cardiac care unit with cardiogenic shock. The nurse assesses the client to be diaphoretic and tachypneic, with bilateral crackles throughout both lung fields. Following insertion of a pulmonary artery catheter, which hemodynamic values will the nurse most likely find?

The new medical-surgical floor nurse is rounding and finds t…

The new medical-surgical floor nurse is rounding and finds the client in bed, sitting in high Fowler’s position. The client is using accessory muscles, is very anxious and has a feeling of impending doom. The client’s vital signs are: BP 90/50 mm/Hg, apical rate of 110 beats per minute, and RR of 36 shallow and labored. Which of the following should the nurse perform next?