Which defining characteristics or related factors alert the nurse to the possibility the patient is experiencing an increase in ICP? (Select all that apply.)

A nurse is assessing a patient who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?

28.This is a multiple response item. Immediately following birth, the newborn is placed skin-to-skin on mom to promote which of the following behaviors? Select all that apply by typing the letter(s) to your answer in alphabetical order using no spaces, commas, or periods. A. Bonding between newborn and mom B. Maintain newborn temperature C. Initiate gastric motility D. Stimulate early breastfeeding E. Prevent reflux

A patient presents with the following ABG:    pH 7.31    PaO2 78      PaCo2  32   HCo3  20. What is your evaluation of the ABG. (Select all that apply)

Which  nursing intervention is appropriate to assist the patient in coping with admission to the critical care unit?

Your mechanically ventilated patient has the following ABG: pH  7.32   PaO2 60    PaCo2 45   HCo3   26. What changes would you expect to make on the ventilator settings?

A patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering the medications, the patient says, “I don’t need the aspirin today. I don’t have any aches or pains.” Which action should the nurse take?

A nurse is interpreting a patient’s ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?

While caring for a patient with a basilar skull fracture, the nurse observes clear drainage from the patient’s left naris. What is the best nursing action?

The nurse is caring for a patient with an ICP of 18 mm Hg and a GCS score of 3. Following the administration of mannitol, which assessment finding by the nurse requires further action?