Chapter 65: Critical Care
Lewis: Medical-Surgical Nursing, 10th Edition
1. A patient who has been in the intensive care unit for 4 days has disturbed sensory perception from sleep deprivation. Which action should the nurse include in the plan of care?
Administer prescribed sedatives or opioids at bedtime to promote sleep.
Cluster nursing activities so that the patient has uninterrupted rest periods.
Silence the alarms on the cardiac monitors to allow 30- to 40-minute naps.
Eliminate assessments between 2200 and 0600 to allow uninterrupted sleep.
2. Which hemodynamic parameter best reflects the effectiveness of drugs that the nurse gives to reduce a patient’s left ventricular afterload?
Mean arterial pressure (MAP)
Systemic vascular resistance (SVR)
Pulmonary vascular resistance (PVR)
Pulmonary artery wedge pressure (PAWP)
3. While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?
Tell the family members that watching the resuscitation will be very stressful.
Ask family members if they wish to remain in the room during the resuscitation.
Take the family members quickly out of the patient room and remain with them.
Assign a staff member to wait with family members just outside the patient room.
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