The nurse is admitting a postoperative surgical client to the intensive care unit (ICU) and a ventilator is prescribed. While anticipating potential complications, which equipment should the nurse place at the client's bedside?

A client's telemetry monitor indicates the sudden onset of ventricular fibrillation (VF). Which assessment finding should the nurse anticipate?

A client who had an anterior wall myocardial infarction (MI) and a coronary artery bypass surgery one year ago is admitted to the intensive care unit (ICU) with severe shortness of breath and hemoptysis. Routine medications include an angiotensin-converting enzyme inhibitor, diuretic, anticoagulant, and potassium supplements. Vital signs are a temperature of 97.6° F (36.4° C) orally heart rate 108 beats/minute, respiratory rate 28 breaths/minute, blood pressure 96/70 mm Hg, and oxygen saturation 89% on room air. Which assessment findings should the nurse expect to find next?

A client is admitted to the intensive care unit (ICU) with sepsis and acute respiratory distress syndrome (ARDS). The client is orally intubated and mechanically ventilated. Which intervention is most important for the nurse to include in the client's plan of care (POC)?

A client is admitted to the intensive care unit with multisystem organ dysfunction syndrome (MODS). The client is restless, febrile, and nauseated. Insulin is infusing at 5 units/hour per protocol to keep blood glucose less than 150 mg/dL (8.3 mmol/L). Dopamine is infusing at 5 mcg/kg/minute per protocol to keep mean arterial pressure (MAP) greater than 65 mm Hg. Serum blood glucose is 160 mg/dL and MAP is 66 mm Hg. The client is receiving oxygen at 50% via face mask and has an oxygen saturation of 92%. Which intervention should the nurse implement?

Reference Range:

• Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]

After seven days of mechanical ventilation, an older adult client is extubated and is now receiving 50% oxygen via face mask. The client has become anxious and is beginning to hyperventilate. Which intervention is most important for the nurse to implement?

In addition to the pharmacological treatment, which action(s) could the nurse do to help to optimize the client's cerebral perfusion pressure? Select all that apply.

An adult who fell 20 feet (6 meters) from a tree is admitted to the intermediate intensive care unit with a fractured femur. When the cardiac monitor alarms, the nurse finds the client has no palpable carotid pulse and no spontaneous respiration, however, the cardiac monitor displays a sinus rhythm. Which intervention should the nurse implement?

Patient Data

Click to highlight the prescriptions that the nurse should perform first.

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• Obtain lactic acid level
• Admit to step-down intensive care unit (ICU)
• Insert indwelling catheter for accurate intake and output (180) monitoring
• Infuse 0.9% sodium chloride 30 mL/kg bolus now, then 150 mL/hour after bolus
• Cefepime 1 gram every 8 hours intravenous piggyback (IVPB)
• Acetaminophen 650 mg by mouth (PO) for pain or for temperature above 100.4 F (38 C)
• 1 to 5 L/minute of oxygen as needed to maintain saturations greater than 92% via nasal cannula

A client with a femoral arterial sheath is admitted to the cardiac care unit (CCU) after a percutaneous transluminal coronary angioplasty (PTCA). Which intervention should the nurse provide during the first hour of postoperative care?

A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)