A 65‑year‑old client develops cardiogenic shock following an acute myocardial infarction. The nurse is preparing to implement priority interventions to improve cardiac output, reduce myocardial workload, and stabilize hemodynamics.Question:For each of the following nursing actions or concepts, indicate whether the statement is Indicated, Contraindicated, or Unrelated to the management of cardiogenic shock.

Mr Smith is intubated and sedated with fentanyl at 200 mcg/hour and propofol at 80mcg/kg/min. Mr Smith weighs 75kgs. propofol label.PNG Use the label above to calculate the rate (ml/hour) of the propofol. Round to nearest whole number.

A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing. Assessment reveals the following: HR 152RR 38SpO₂ 87% on 4 L/min NCBP 88/67Anxious, pale, and diaphoreticWhich action should the nurse implement IMMEDIATELY?

A postoperative patient has been receiving IV fluids at 125 mL/hr for the past 12 hours. Urine output over the last 4 hours has trended downward from 60 mL to 42 mL to 28 mL to 20 mL. Current assessment findings include blood pressure dropping to 88/52 mmHg, heart rate increasing to 124/min, respirations 26/min and shallow, cool clammy skin, capillary refill greater than 3 seconds, weak thready pulses, increasing restlessness and confusion, and a lactate level of 4.2 mmol/L.For each finding below, select whether it requires immediate provider notification or if it should be continued to monitor.

A nurse is reviewing the health records of 5 clients. Which of the following clients are at risk for developing acute respiratory distress syndrome (ARDS)?

A nurse is assessing a client to determine readiness for ventilator weaning. Which finding indicates the client is ready to begin the weaning process?

A client’s condition has progressed from acute lung injury following a near‑drowning incident to acute respiratory distress syndrome (ARDS). Which provider order should the nurse question?

A client in cardiogenic shock is receiving support with an intra‑aortic balloon pump (IABP). Which assessment finding indicates that the therapy is effective?

A client in cardiogenic shock is receiving mechanical circulatory support with a femorally‑inserted ventricular assist device (VAD) (e.g. Impella) in the intensive care unit.Which nursing actions will be incuded in the plan of care for this patient to maintain safe device function?

Use the table below to indicate whether each action is indicated or not indicated to reduce the risk for ventilator-associated pneumonia (VAP)