The nurse is caring for a patient with a subarachnoid hemorrhage who is intubated and placed on a mechanical ventilator with 10 cm Hâ‚‚O of peak end-expiratory pressure (PEEP). When monitoring the patient, the nurse will need to notify the health care provider immediately if the patient develops

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Perioperative Care Practice Questions Quizlet Questions

Question 1 of 5

The nurse is caring for a patient with a subarachnoid hemorrhage who is intubated and placed on a mechanical ventilator with 10 cm Hâ‚‚O of peak end-expiratory pressure (PEEP). When monitoring the patient, the nurse will need to notify the health care provider immediately if the patient develops

Correct Answer: D

Rationale: Choice D as jugular distention suggests elevated intracranial pressure from PEEP, critical in subarachnoid hemorrhage. Normal saturation (choice A), respirations (choice B), and drainage (choice C) don't require immediate action. This reflects NCLEX physiological integrity, prioritizing neurological monitoring in critical care.

Question 2 of 5

The nurse is caring for a patient who is to be discharged from the hospital 5 days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

When caring for a patient who is using Buck's traction after a hip fracture, which action can the nurse delegate to unlicensed assistive personnel (UAP)?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A nurse is assessing a patient who is receiving a nitroprusside (Nipride) infusion to treat cardiogenic shock. Which finding indicates that the medication is effective?

Correct Answer: C

Rationale: Choice C as warm, pink, dry skin shows improved perfusion from nitroprusside's vasodilation in cardiogenic shock. Murmurs (choice A) and troponin (choice B) don't assess perfusion, and low BP (choice D) may persist. This reflects NCLEX Physiological Integrity, evaluating therapy success via tissue oxygenation.

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