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The nurse is caring for a client who is mechanically ventilated. In order to reduce the client’s risk of ventilator-associated pneumonia (VAP), which intervention should the nurse prioritize?

The nurse is caring for a mechanically ventilated client with a sustained ICP of 22 mm/Hg. The nurse needs to perform an hourly neurological assessment, suction the endotracheal tube, perform oral hygiene care, and reposition the client to the left side. Which of the following would the nurse do that demonstrates understanding of the client’s current medical condition?

The nurse is caring for a client with acute pancreatitis. As part of the care plan for this client, which of the following nursing interventions would be inappropriate to include?

Which of the following is the best interpretation of the rhythm shown below?

Ten minutes following administration of an antibiotic, the nurse assesses a client to have edematous lips, hoarseness, and inspiratory stridor. Assessment reveal:  Pulse 130 beats/min, and RR 32 breaths/min. After administration of epinephrine, the nurse would anticipate which of the following outcomes that best demonstrates effectiveness of the medication?

CASE STUDY QUESTION The following questions pertain to the client who is newly admitted in the ICU with diabetic ketoacidosis.   QUESTION: Which of the following statements is true about the medical management of diabetic ketoacidosis

CASE STUDY QUESTION The following questions pertain to the client who is newly admitted in the ICU with diabetic ketoacidosis.   QUESTION: Which of the following statements is true about the medical management of diabetic ketoacidosis

The nurse is caring for the client following an auto-graft to a severe burn wound on the right knee. Which of the following interventions would the nurse perform to help preserve the integrity of the graft

The client has acute shortness of breath, cough and is sweating profusely. Admission assessment  reveals: blood tinged sputum, a BP of 85/46 mmHg, a HR of 122 BPM, and a respiratory rate of 33 breaths/minute. The client states they feel like they are going to die. Which of the following conditions should the nurse suspect?

The nurse is admitting a client with Guillain-Barre syndrome to the nursing unit. The client has ascending paralysis to the level of the waist. Knowing the complications of this disorder, the nurse should bring which of the following most essential items into the client’s room?