A client with severe chest trauma suddenly develops obstructive shock. The nurse suspects tension pneumothorax based on the finding(s) of [BLANK-1].

A Patient is receiving a neuromuscular blocking agent (NMBA), or “paralytic” drug, to improve synchrony with mechanical ventilation. While reviewing the plan of care, which finding should prompt the nurse to intervene immediately?

A client in the ICU is being treated for hemodynamic instability related to severe pump failure after an extensive myocardial infarction. The client is receiving maximum doses of vasopressors and mechanical ventilation. Despite aggressive treatment, the client’s hemodynamic values continue to decline. Which assessment finding most strongly indicates the client may be entering the refractory stage of shock?

A client with chest trauma rapidly develops signs of obstructive shock—including hypotension, distended neck veins, and severe respiratory distress. The provider diagnoses a tension pneumothorax and prepares for an emergency needle thoracostomy. The client’s family asks, “What does this procedure do?”Which explanation by the nurse is most appropriate?

Heparin is prescribed for a patient with a pulmonary embolism (PE).What is the primary purpose of administering heparin to this patient?

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)?