Which of the following must be immediately performed in a patient who has just been intubated? (select all that apply)

Which of the following is an indication of Left sided heart failure?

. A nurse is caring for a client who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse prioritize in this client's plan of care?

The nurse is preparing adult smoking cessation material for a patient admitted with heart failure. What criteria did the nurse use to determine that the patient should receive this material?

Order: Octreotide continuous infusion via pump at 50 mcg/hour Available: Octreotide 0.5 mg in 100 mL of fluid Infuse at 

The nurse assesses the port balloon on the ETT (endotracheal tube) of an intubated patient and is unsure if the balloon is properly inflated. What is the nurse's best action?

A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about. What action by the nurse is most appropriate?

The nurse is assessing a patient for heart failure (HF). Which early findings would indicate decreased cardiac output and a potential for fluid overload from heart failure?

Calculate the P/F ratio using the following:

P-Pa02 82

F-F102 60%

The P/F ratio is used to assess the degree of hypoxemia in patients, particularly those with acute respiratory distress syndrome (ARDS). A P/F ratio of less than 300 suggests mild ARDS, less than 200 suggests moderate ARDS, and less than 100 indicates severe ARDS.

Given:

PaO₂ (Partial pressure of oxygen in arterial blood) = 82 mm Hg

FiO₂ (Fraction of inspired oxygen) = 60% = 0.60 (in decimal form)

A patient is very short of breath. Which finding should cause the nurse to be concerned that the shortness of breath might be due to heart failure?

A nurse observes the following during the physical exam. How will the nurse document this finding?