Which nursing interventions would best support the family of a critically ill patient?

Question 1 of 5

A. Encouraging family members to stay all night in case t he patient needs them. B. Giving a condition update each morning and whenever changes occur. C. Limiting visitation from children into the critical care u nit. D. Providing beverages and snacks in the waiting room.

Correct Answer: B

Rationale: The correct answer is B because giving regular condition updates promotes transparency and communication, reducing anxiety for the family. This intervention helps them stay informed and involved in the patient's care. Choice A may lead to caregiver fatigue and is not sustainable. Choice C limits family support and may increase stress. Choice D focuses on comfort but does not address the family's need for information.

Question 2 of 5

An unresponsive 79-year-old is admitted to the emergency department (ED) during a summer heat wave. The patient’s core temperature is 105.4°F (40.8°C), blood pressure (BP) 88/50, and pulse 112. The nurse initially will plan to:

A. Apply wet sheets and a fan to the patient. B. Provide O2 at 6 L/min with a nasal cannula. C. Start lactated Ringer's solution at 1000 mL/hr. D. Give acetaminophen (Tylenol) rectal suppository.

Correct Answer: A

Rationale: The correct answer is A: Apply wet sheets and a fan to the patient. This is the initial treatment for hyperthermia to aid in lowering the body temperature. Wet sheets help in evaporative cooling, while a fan enhances heat loss through convection. This approach is crucial in managing heat-related illnesses quickly. Choices B, C, and D are incorrect as they do not directly address the urgent need to reduce the patient's elevated core temperature. Providing O2, IV fluids, or acetaminophen can be considered later in the management, but the priority is to rapidly lower the body temperature in a hyperthermic patient to prevent further complications.

Question 3 of 5

The primary care provider orders the following mechanica l ventilation settings for a patient who weighs 75 kg and whose spontaneous respiratory rate is 22 breaths/min. What arterial blood gas abnormality may occur if the patient continues taob ibrbe.c otamc/thesyt pneic at these ventilator settings? Settings: Tidal volume: 600 mL (8 mL per kg) FiO 2: 0.5 Respiratory rate: 14 breaths/min Mode assist/control Positive end-expiratory pressure: 10 cm H O

A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis

Correct Answer: C

Rationale: The correct answer is C: Respiratory acidosis may occur if the patient continues at these ventilator settings. Respiratory acidosis happens when the lungs cannot remove enough of the carbon dioxide (CO2) produced by the body. In this case, the low respiratory rate of 14 breaths/min may not be sufficient to adequately remove CO2, leading to its accumulation in the blood. This results in a decrease in blood pH, causing respiratory acidosis. Summary of other choices: A: Metabolic acidosis - Not the correct answer as the ventilator settings are more likely to affect the respiratory system rather than the metabolic system. B: Metabolic alkalosis - Not the correct answer as the ventilator settings are not related to causing an increase in blood pH, which is characteristic of metabolic alkalosis. D: Respiratory alkalosis - Not the correct answer as the low respiratory rate would not lead to excessive elimination of CO2, causing alkalosis.

Question 4 of 5

Which of the following is (are) official journal(s) of the A merican Association of Critical-Care Nurses? (Select all that apply.)

A. American Journal of Critical Care B. Critical Care Clinics of North America C. Critical Care Nurse D. Critical Care Nursing Quarterly

Correct Answer: A

Rationale: Step-by-step rationale: 1. The American Association of Critical-Care Nurses (AACN) publishes the American Journal of Critical Care (AJCC). 2. The AJCC is a peer-reviewed journal that covers critical care nursing practice, research, and education. 3. The content in AJCC aligns with AACN's mission and standards for critical care nursing. 4. Hence, AJCC is an official journal of AACN. Summary of other choices: - B: Critical Care Clinics of North America - Not an official journal of AACN. - C: Critical Care Nurse - Not an official journal of AACN. - D: Critical Care Nursing Quarterly - Not an official journal of AACN.

Question 5 of 5

A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She assesses his cognitive function using a new cognitive assessment test she learned about in a recent article in a nursing journal. She then brings a cup of water and a straw to the patient because she observes that his lips are dry. Later, she has the patient sit in a wheelchair and takes him to have some blood tests performed. He objects at first, saying that he can walk on his own, but the nurse explains that it is hospital policy to use the wheelchair. That evening, she recognizes signs of an imminent stroke in the patient and immediately pages the physician. Which action taken by the nurse is the best example of evidence-based practice?

A. Giving the patient a cup of water B. Transferring the patient in a wheelchair C. Recognizing signs of imminent stroke and paging the physician D. Using the cognitive assessment test

Correct Answer: C

Rationale: The correct answer is C: Recognizing signs of an imminent stroke and paging the physician. This action exemplifies evidence-based practice as it involves timely identification of a critical medical condition based on clinical assessment and prompt communication with the physician for further intervention. This aligns with the principles of evidence-based practice, which emphasize the integration of best available evidence with clinical expertise and patient values. The other choices are incorrect: A: Giving the patient a cup of water - While providing hydration is important for patient care, it does not demonstrate evidence-based practice in this scenario. B: Transferring the patient in a wheelchair - Although using a wheelchair may be hospital policy, it does not directly relate to evidence-based practice in this context. D: Using the cognitive assessment test - While assessing cognitive function is essential, it does not directly address the immediate medical needs of the patient as recognizing signs of an imminent stroke does.

Similar Questions

A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She assesses his cognitive function using a new cognitive assessment test she learned about in a recent article in a nursing journal. She then brings a cup of water and a straw to the patient because she observes that his lips are dry. Later, she has the patient sit in a wheelchair and takes him to have some blood tests performed. He objects at first, saying that he can walk on his own, but the nurse explains that it is hospital policy to use the wheelchair. That evening, she recognizes signs of an imminent stroke in the patient and immediately pages the physician. Which action taken by the nurse is the best example of evidence-based practice?

The nurse cites evidence-based practice as a rationale for a patient care decision. What isthe best description of evidence-based practice?

The nurse is caring for a patient in the critical care unit whaobi,r ba.cfotemr/ tebset ing declared brain dead, is being managed by the OPO transplant coordinator. Thir ty minutes into the shift, assessment by the nurse includes a blood pressure 75/50 mm Hg, hear t rate 85 beats/min, and respiratory rate 12 breaths/min via assist/control ventilation. The oxygen saturation (SpO ) is 99% and 2 core temperature 93.8° F. Which primary care provider ord er should the nurse implement first?

The nurse is caring for a mechanically ventilated patient an d responds to a high inspiratory pressure alarm. Recognizing possible causes for the alarma, btihrbe.c nomu/rtesset assesses for which of the following? (Select all that apply.)

A hospice patient develops a pressure ulcer despite proper repositioning. What should the nurse include in the care plan?

Nurselytic

ATI RN