A patient with a brain tumor has been admitted to the critical care unit after developing syndrome of inappropriate antidiuretic hormone hypersecretion (SIADH).
In light of this patient's endocrine disorder, what assessments should the nurse prioritize?
A) Potassium levels, blood urea nitrogen (BUN), creatinine
B) Abdominal girth, lung auscultation
C) Sodium levels, urine output
D) Arterial blood gases, level of consciousness
Question 2A male patient is being treated for acute respiratory distress syndrome (ARDS) in the intensive care unit. The patient has responded favorably to treatment but remains intubated.
What nursing action should the nurse take in order to promote his coping ability?
A) Perform education about the etiology of his disease and about future prevention measures.
B) Encourage the patient's participation in decisions around care and treatment.
C) Emphasize positive assessment findings when discussing the patient's health status with him.
D) Perform passive range of motion exercises frequently throughout each shift.
Question 3A patient is recovering from a motor vehicle accident, which has necessitated mechanical ventilation in the intensive care unit (ICU). The ICU nurse is aware that multiple nursing diagnoses are associated with mechanical ventilation.
Which of the following nursing diagnoses is a consequence of mechanical ventilation?
A) Moral Distress
B) Impaired Verbal Communication
C) Acute Confusion
D) Risk for Imbalanced Body Temperature
Question 4A patient with sepsis is receiving care in the intensive care unit and is receiving mechanical ventilation.
The patient's acuity, decreased level of consciousness and ventilation preclude most forms of mobility and the nurse has identified a consequent risk of venous thromboembolism. What nursing intervention should the nurse specify in the patient's care plan to reduce this risk?
A) Position the patient in the Trendelenburg position every 4 to 6 hours.
B) Perform vigorous massage of patient's exposed skin surfaces each shift.
C) Apply antiembolic stockings to the patient's legs.
D) Administer subcutaneous vitamin K as ordered.
Question 5A critical care nurse is aware of the high incidence and prevalence of ventilator-associated pneumonia (VAP) in high-acuity settings. In order to reduce patients' risks of developing VAP, what intervention should the nurse prioritize?
A) Provide frequent, thorough mouth care.
B) Auscultate the patient's lungs at least every 6 hours.
C) Administer prophylactic intravenous antibiotics as ordered.
D) Maintain the patient in a supine position whenever possible.
Question 6An older adult patient has experienced a severe exacerbation of chronic obstructive pulmonary disease and requires mechanical ventilation. Which of the following settings will be specified by the primary care provider? Select all that apply.
A) Fraction of inspired oxygen
B) Respiratory rate
C) Tidal volume
D) Positive end expiratory pressure
E) CO2 saturation level
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