Critical Care Exam 1

Exam 1 critical care 1. When planning care for a client who is critically ill, what action should the nurse implement to decrease the client's stress? a. Strictly limit visitors. b. Play soft soothing music. c. Set lighting for day/night cycles. *d .Plan care to minimize interactions with the client. 2. The nurse is caring for a client with terminal cancer. It is essential for the nurse to consider which aspect of this client's care? a. Requesting that the chaplain visit the client. *b. Compliance with the client's living will. c. Maintaining a soothing environment. d. Frequent family visitation. 3. When caring for an older adult client in the critical care setting, how can the nurse best assess for pain? a. Use the FACES Pain Scale. *b. Observe non-verbal cues. c. Use the visual analog scale. d. Ask the client for a pain score. 4. . What finding would the nurse address first following the administration of an opioid analgesic in a client who is critically ill? a. Hypotension b. Constipation c. Increased pain *d. Respiratory depression TYPE: MA 5. In caring for a terminally ill client during the ventilator weaning process, the nurse should be alert for which signs of discomfort? (Select all that apply) *a. Dyspnea *b. Tachycardia c. Bradycardia d. Hypotension *e. Use of accessory muscles 6. When caring for a client in the critical care setting, which environmental factor should the nurse control to reduce stress? *a. Noise b. Light c. Visitation d. Lack of privacy 7. An intensive care nurse is receiving bedside report from members of the healthcare team for further management of care. What information would require immediate action by the oncoming team? a. Wheezes are noted throughout lung fields on auscultation. *b. There is noted paradoxical thoracoabdominal movement. c. Client is on a ventilator that includes the use of heliox. d. Client has a prolonged exhalation. 8. A client reporting dyspnea and chest pain with inhalation is being prepared for a high-resolution multidetector computed tomography angiography (MCDTA). What information would the nurse include in the plan of care? *a. The client should remain still during the diagnostic test b. This is a nonspecific test, which could be positive with infections also c. The client will have to have their legs available for the diagnostic test d. This is an invasive test; afterwards the client will have to lie still for 4 hour 9. . What does the nurse understand has the most potential to be a risk factor for acute respiratory distress syndrome in a client undergoing general anesthesia for surgery? a. Poor nutritional stasis *b. Aspiration of gastric contents c. Pregnancy d. Chronic bronchitis 10. A client is receiving corticosteroids for the development of acute respiratory distress syndrome (ARDS). What would the nurse evaluate to determine the client is not developing side effects? a. Monitor for lower extremity edema b. Check skin turgor *c. Assess the client’s mouth for thrush d. Watch sclera for yellowing 11. A nurse is evaluating a post-operative client with chronic obstructive pulmonary disease f