Unit 3 Review

A sign patient is in Cardiogenic Shock

A low-pressure alarm sounds on a PT recieving mechanical ventilation. What may have cuased the alarm?

Which low-flow oxygen delivery device should the nurse use to deliver the highest level of oxygen?

Purpose of positive end-expiratory pressure (PEEP)

An MVC will be arriving to the ED shortly. In prep for the patient, what should the nurse obtain?

Nurse observes patients O2 sat drops from 96% to 86% upon ambulation. What is the nurse priority action?

A nurse calulates 25 small blocks from R wave to R wave. What is the HR?

PT is on Vasopressin. Which should assessment finding should the nurse report to the healthcare provider immediately

A nurse is caring for a client who is 1 hour post thoracentesis. Which is a priority finding?

Patient arrived to ED with clammy skin, tachycardia, and hypotension. O2 sat is 89%. Which should the nurse do first?

Client is diagnosed with ARDS. Which assement finding would you report to the provider?

A patient has 2 broken ribs following a car accident. Which intervention would the nurse suggest to the patient?

Medication used for SVT if other less invasive procedure fail

Caring for acute chest trauma. Which assessment may indicate tension pneumothorax?

Patient ET tube which was marked at the 23 mark is not at 28. What action do you take FIRST?

A patient is admited to the ED with an open stab wound. Which action should the nurse take?

PT has Sinus Brady on the monitor. Which action should the nurse anticipate?

A patient arrives after an MVC. Which type of shock would you anticipate for a patient during a major trauma?

PT arrived in Anaphylactic shock. Which VS is most concerning to the nurse?

A normal Central Venous Pressure