The mechanically ventilated patient has increased respiratory rate ranging from 12-24 and
oxygen saturation decreased to 90% despite oxygen increase to 100%. The patient assessment
reveals basilar crackles that were not previously present, high peak airway pressures, and use of
accessory muscles. Arterial blood gas reveals pH 7.50, pCO2 32, and pO2 49. Chest X-ray
results are significant for diffuse ground glass opacities. The patient is likely experiencing:
Acute respiratory distress syndrome
A patient is a victim of a motor vehicle accident and has closed chest trauma. As you assess your
patient, you notice that he has diminished breath sounds. Your patient is most likely experiencing
a: pneumothorax.
Which drug is given first to a patient with pulseless electrical activity (PEA)? Epinephrine
What would be the most effective intervention to be ordered to treat a hemodynamically unstable
patient with third-degree heart block? Transcutaneous pacing
You are caring for a patient with severe sepsis and third-degree heart block. The patient is
hypotensive. The treatment for this life-threatening rhythm change includes:
Transcutaneous pacing
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A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic
pressure. This assessment is most consistent with: Cardiac tamponade
A mechanically ventilated patient from the OR is admitted to the ICU following an MVA. The
patient experienced head trauma and blunt trauma to the abdomen. You are assessing this patient
and notice that his heart rate is 130-145 per minute in sinus tachycardia; his CVP is 2. The
patient remains hypotensive despite the use of vasopressors. The patient has a chest tube
connected to wall suction and the TAC is putting out large amounts of bright red blood. You
recognize that this patient is most likely experiencing: Hypovolemic shock
A patient has an elevated central venous pressure measurement. The most likely reason is:
Right heart failure
A 46-year-old patient states that he has had weakness in his lower extremities that has worsened
in an ascending manner over the past 3 days. The patient also states he is having difficulty
breathing. The nurse is most concerned that this patient is at high risk for respiratory failure
caused by: Guillain-Barré syndrome