A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
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Patients with musculoskeletal injury are at increased risk f…
Patients with musculoskeletal injury are at increased risk for compartment syndrome. What is an initial symptom of a suspected compartment syndrome?
A nurse is suctioning a mechanically ventilated patient’s ai…
A nurse is suctioning a mechanically ventilated patient’s airway using in-line suctioning. When using this method, it is most appropriate for the nurse to
A patient’s status worsens and needs mechanical ventilation….
A patient’s status worsens and needs mechanical ventilation. The pulmonologist wants the patient to receive 10 breaths/min from the ventilator but wants to encourage the patient to breathe spontaneously between the mechanical breaths at his own tidal volume. This mode of ventilation is called
The patient’s low pressure alarm is sounding. What is the nu…
The patient’s low pressure alarm is sounding. What is the nurse’s first action?
The nurse assesses the client receiving oxygen via a partial…
The nurse assesses the client receiving oxygen via a partial rebreather mask. The nurse will intervene for which assessment finding?
The nurse calculates the PaO2/FiO2 ratio for the following v…
The nurse calculates the PaO2/FiO2 ratio for the following values: PaO2 78 mmHg, FiO2 60%. What conclusion can the nurse draw from this data?
You are caring for a patient with acute respiratory distress…
You are caring for a patient with acute respiratory distress syndrome. As the nurse you know that prone positioning can be beneficial for some patients with this condition. Which findings below indicate this type of positioning was beneficial for your patient with ARDS? Select all that apply.
A client is admitted to the emergency department with crushi…
A client is admitted to the emergency department with crushing chest injuries sustained in a car accident. Which sign indicates a possible pneumothorax?
A patient is admitted to the emergency department with a sta…
A patient is admitted to the emergency department with a stab wound to the right chest. Air can be heard entering his chest with each inspiration. To decrease the possibility of a tension pneumothorax in the patient, the nurse should