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A client diagnosed with acute respiratory distress syndrome (ARDS) is restless and has a low oxygen saturation level. If the client’s condition does not improve and the oxygen saturation level continues to decrease, what procedure will the nurse expect to assist with in order to help the client breathe more easily?

On assessment of a patient who is on mechanical ventilation, the nurse notes that the endotracheal tube has moved from the 21 cm mark to the 24 cm mark at the lip level. Which of the following nursing intervention should the nurse do first?

A patient who is intubated and on the ventilator is exhibiting restlessness and tachycardia secondary to an inability to communicate and loss of control. What nursing interventions are appropriate?

A client has been admitted with fluid volume excess related to right-sided heart failure. Which assessment data would the nurse expect related to the fluid volume excess? Select all that apply.

A patient with acute kidney injury being assessed to determine etiology alteration in kidney function. If the cause is prerenal, which condition most likely caused it?

A patient is admitted into the emergency room comatose related to a drug overdose. The arterial blood gas (ABGs) results are: pH of 7.15, PaO2 of 65, PaCO2 of 60, and HCO3 of 26. Based on this data, what is the priority nursing intervention?

The nursing instructor when teaching about disorders of cardiac function informs the students that all people presenting with ST-segment elevation myocardial infarction (STEMI) should be assessed for reperfusion therapy as quickly as possible. Reperfusion therapy includes which of the following? Select all that apply.

On a telemetry unit, the cardiac alarm sounds on a client diagnosed with a myocardial infarction when the following rhythm is displayed. The client is unconscious, cyanotic, and not breathing. What nursing actions have the highest priority at this time? Place the following action in the order in which they should be performed. Not all items will be used.

A 56-year-old patient in the emergency room is complaining of severe chest pain with a history of hypertension and diabetes. The nurse should anticipate administering which treatments? SELECT ALL THAT APPLY

A client is scheduled for a percutaneous coronary intervention. During the preoperative teaching, which statement by the nurse informs the client of the purpose of this procedure?