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TEST BANK FOR PRIORITIES IN CRITICAL CARE NURSING 9TH EDITION BY LINDA URDEN, KATHLEEN STACY, MARY LOUGH (ALL CHAPTERS, 100% ORIGINAL VERIFIED, A+ GRADE) EXAM QUESTIONS AND COMPLETE VERIFIED AND 100% CORRECT ANSWERS WITH RATIONALES WELL EXPLAINED BY EXPER$10.49
TEST BANK FOR PRIORITIES IN CRITICAL CARE NURSING 9TH EDITION BY LINDA URDEN, KATHLEEN STACY, MARY LOUGH (ALL CHAPTERS, 100% ORIGINAL VERIFIED, A+ GRADE) EXAM QUESTIONS AND COMPLETE VERIFIED AND 100% CORRECT ANSWERS WITH RATIONALES WELL EXPLAINED BY EXPER
TEST BANK FOR PRIORITIES IN CRITICAL CARE NURSING 9TH EDITION BY LINDA URDEN, KATHLEEN STACY, MARY LOUGH (ALL CHAPTERS, 100% ORIGINAL VERIFIED, A+ GRADE) EXAM QUESTIONS AND COMPLETE VERIFIED AND 100% CORRECT ANSWERS WITH RATIONALES WELL EXPLAINED BY EXPERTS AND GRADED A+ ALREADY PASSED!!!!!!!!!LATE...
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,
,Which of the following assessment findings by the nurse when caring for a client with ARDS who is being
treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates
that the PEEP may need to be decreased?
a) The client has subcutaneous emphysema.
b) The client has a sinus bradycardia with a rate of 52.
c) The client's PaO2 is 50 mm Hg and the SaO2 is 88%.
d) The client has bronchial breath sounds in both the lung fields.
A
Which of the following statements by the nurse when explaining the purpose of positive end-expiratory
pressure (PEEP) to the family members of a client with ARDS is correct?
a) "PEEP will prevent fibrosis of the lung from occurring."
b) "PEEP will push more air into the lungs during inhalation."
c) "PEEP allows the ventilator to deliver 100% oxygen to the lungs."
d) "PEEP prevents the lung air sacs from collapsing during exhalation."
D
When prone positioning is used in the care of a client with acute respiratory distress syndrome (ARDS),
which of the following information obtained by the nurse indicates that the positioning is effective?
a) The client's PaO2 is 90 mm Hg, and the SaO2 is 92%.
b) Endotracheal suctioning in minimal mucous return.
c) Sputum and blood cultures show no growth after 24 hours.
d) The skin on the client's back is intact and without redness.
A
The nurse obtains the vital signs for a client admitted 2 days ago with Gram-negative sepsis:
temperature 38.4 C (101.1 F), blood pressure 90/56 mm Hg, pulse 92 beats/minute, respirations
34/minute. Which of the following actions should the nurse take next?
a) Administer the scheduled IV antibiotic.
b) Give the PRN acetaminophen 650 mg.
c) Obtain oxygen saturation using pulse oximetry.
d) Notify the health care provider of the client's vital signs.
C
, To evaluate the effectiveness of prescribed therapies for a client with ventilatory failure, which of the
following diagnostic tests will be most useful to the nurse?
a) Chest x-rays
b) Pulse oximetry
c) Arterial blood gas (ABG) analysis
d) Pulmonary artery pressure monitoring
C
The nurse is caring for a client who has been admitted with a pulmonary embolism and notes a change
in the client's oxygen saturation (SpO2) from 94% to 88%. Which of the following actions should the
nurse implement?
a) Increase the oxygen flow rate.
b) Suction the client's oropharynx.
c) Assist the client to cough and deep breathe.
d) Help the client to sit in a more upright position.
A
The nurse is caring for a client with respiratory failure who has a respiratory rate of 8/minute and a
SpO2 of 89%. The client is increasingly lethargic. Which of the following actions should the nurse
anticipate?
a) Administration of 100% oxygen by nonrebreather mask
b) Endotracheal intubation and positive pressure ventilation
c) Insertion of a mini-tracheostomy with frequent suctioning
d) Initiation of bilevel positive pressure ventilation (BiPAP)
B
The pulse oximetry for a client with right lower lobe pneumonia indicates an oxygen saturation of 90%.
The client has rhonchi, a weak cough effort, and complains of fatigue. Which of the following actions is
best for the nurse to take?
a) Position the client on the right side.
b) Place a humidifier in the client's room.
c) Assist the client with staged coughing.
d) Schedule a 2-hour rest period for the client.
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