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Critical Care Final Exam Review - Qs And As
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Critical Care Final Exam Review - Qs And AsB. Shystocytes on blood smear Ans - The nurse is caring for a patient
with petechiaae underneath compression stockings and slight oozing around
venipuncture sites. The nurse notices what on the lab results that indicates
this patient may be experiencing DIC?
A. Increased hemoglobin levels
B. Shystocytes on the blood smear
C. Decreased lactic acid
D. Decreased potassium
D. Decreased volume and lung compliance on the ventilator Ans - What
will the nurse assess in a patient experiencing the fibrotic phase of acute lung
injury resulting in hypoventilation, hypoxemia?
A. Pulmonary artery pressure of 18/9 mmHg
B. Stridor on inspiration
C. Bilateral effusion can be seen on radiographic exams
D. Decreased volume and lung compliance on the ventilator
A. Assist control mode refers to the patient receiving a set total lung capacity
but the rate is maintained by the patient's own rate of breathing Ans -
Which statement made by a new graduate nurse about invasive mechanical
ventilation techniques requires additional teaching?
A. Assist control mode refers to the patient receiving a set total lung capacity
but the rate is maintained by the patient's own rate of breathing
B. Total control mode controls both the rate and volume that are preset and
delivered without the machine responding to any of the patient' own breaths
,C. Synchronized intermittent mandatory ventilation (SIMV) refers to the
patient setting an independent rate but limited tidal volume based on the
patient's own strength. A minimum rate is also used as a backup to prevent
hypoventilation
D. Continuous positive airway pressure will increase the residual capacity and
keep the alveoli open. rate and volume are controlled by the patient. This is
one step weaning process
C. Hyperoxygenate with 100% O2 and suction the patient Ans - A patient
with ARDS is on a mechanical ventilator with a heart rate of 128, SaO2 of 88%,
and the ventilator settings are FiO2 50%, PEEP 8 cm, AC 10 with total
respiratory rate of 30, and tidal volume 00 mL. There are coarse rhonci
audible in all lung fields. The appropriate nursing action would be to:
A. Administer the ordered neuromuscular blockade medications
B. Increase the PEEP to 10 cm and sedate the patient
C. Hyperoxygenate with 100% oxygen and suction the patient
D. Increase the FiO2 to 60% and tidal volume to 750 mL for 2 minutes
B. Provide adequate rest and recovery time between procedures Ans -
Which nursing action would best optimize overall oxygenation and ventilation
in the patient with ARDS?
A. Hyperventilate the patient after suctioning
B. Provide adequate rest and recovery time between procedures
C. Suction the patient every 30 minutes
D. Administer sedation infrequently
A. Increased intracranial pressure
B. A spinal injury
,D. Abdominal compartment syndrome Ans - The nurse recognizes that
utilizing the prone position to enhance oxygenation in a patient with ARDS is
contraindicated one the patient has: (Select all that apply)
A. Increased intracranial pressure
B. A spinal injury
C. Right below the knee amputation
D. Abdominal compartment syndrome
E. Failed weaning attempt
B. Establish IV access Ans - An older client is experiencing hypovolemic
shock. Which action would be give the highest priority for this client?
A. Complete health history
B. Establish IV access
C. Administer analgesics for pain control
D. Bolus of 0.45% NaCl at 999mL/hr
B. Increased CO Ans - A client being treated for hypovolemic shock is
prescribed a titrating dose of dopamine. What will the nurse assess while
administering this medication?
A. Decreased cardiac irritability
B. Increased CO
C. urinary output of at least 3 mL/hr
D. Stabilization of fluid loss
, A. Decreased MAP of >= 10mmHg Ans - A nurse is working gin the ICU
and is caring for a client in progressive hypovolemic shock. Which clinical
manifestation is likely present?
A. Decreased MAP of 10 mmhm or greater
B. Hodophobia
C. Increased pulse pressure
D. Extreme logorrhea
A. Support blood pressure
D. Maintain adequate airway
E. Provide adequate oxygen supply Ans - The nurse is caring for a client
experiencing anaphylactic shock. Which of the following should be included in
the plan of care for this client? Select all that apply.
A. Support the blood pressure
B. Remove the mechanical barrier to blood flow
C. Remove the source of infection
D. Maintain adequate airway
E. Provide adequate oxygen supply
D. Dopamine Ans - A client in shock is prescribed an inotropic drug to
act on alpha and beta receptors. The nurse will most likely be administering:
A. Vasopressin
B. Nitroprusside
C. D5 1/2 NS
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