Critical Care Nursing Questions

Correct Answer: B

Rationale: The correct answer is B: Administer anticholinergic medications as prescribed. Anticholinergic medications can help dry up secretions and improve breathing in a patient nearing death. This intervention targets the underlying cause of increased secretions. Suctioning (choice A) may provide temporary relief but does not address the root issue. Elevating the head of the bed and repositioning (choice C) can help with comfort but do not directly address the secretions. Restricting oral intake (choice D) may lead to dehydration and discomfort without effectively managing the secretions. Administering anticholinergic medications is the priority as it directly targets the symptom of increased secretions, improving the patient's comfort and quality of life.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Family-centered care promotes involvement of family members in patient care. 2. A sleeper sofa in the patient's room allows family members to stay overnight, enhancing support for the patient. 3. Storage for personal belongings ensures families can have essentials close by, increasing comfort and convenience. 4. These design elements facilitate family presence, communication, and participation in care, aligning with family-centered care principles. Summary of Incorrect Choices: B. Having a diagnostic suite nearby is convenient but not directly related to family-centered care principles. C. A waiting room with amenities is beneficial but does not directly involve families in patient care. D. Access to a garden for meditation is helpful for relaxation but does not emphasize family involvement in care.

Correct Answer: A

Rationale: The correct answer is A: Diminished breath sounds over the left lung field. This finding could indicate a pneumothorax, a serious complication of subclavian CVC insertion. Immediate action is required to prevent respiratory distress. Incorrect answers: B: Localized pain at insertion site is common post-procedure and may not indicate a serious issue. C: A central venous pressure of 5 mm Hg is within the normal range and does not require immediate action. D: Slight bloody drainage is expected initially and can be managed with routine care.

Correct Answer: A

Rationale: The correct answer is A because interrupting sedation daily to assess readiness to extubate is a key component of IHI's ventilator bundle to prevent ventilator-associated pneumonia. This practice helps prevent over-sedation, reduce the duration of mechanical ventilation, and decrease the risk of complications. The other choices, B, C, and D, are incorrect as they are not specific components of the IHI's ventilator bundle. Maintaining head of bed elevation, providing deep vein thrombosis prophylaxis, and prophylaxis for peptic ulcer disease are important aspects of critical care but are not directly related to the ventilator bundle protocol outlined by IHI.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Acknowledges the child's distress and concerns. 2. Explains the concept of allowing natural death after serious injuries. 3. Helps the family understand the ethical and medical reasoning behind removing life support. 4. Shows empathy and provides education to address misconceptions. Summary of other choices: B: Incorrect - Avoids addressing the family's concerns and provides a vague response. C: Incorrect - Contains a typo and does not directly address the child's distress or misunderstanding. D: Incorrect - Irrelevant response that does not address the ethical dilemma at hand.