Ati Critical Care Exam 2024-2025

What should you be monitoring a patient for after a bronchoscopy? - >>>significant fever (mild is ok up to 24 hrs after the procedure), productive ANSWERcough, significant blood in sputum (small amounts are to be expected), hypoxemia, laryngspasm >>>sitting up What position should the patient be in for a thoracentesis? - ANSWERover the bedside table What are possible complications of a thoracentesis? How do we tell patients to mediastinal shifts identify pneumothorax? - ANSWER>>>pneumothorax (deviated trachea, pain at the end of inhalation or exhalation, affected side not moving with breath, increased HR, shallow respirations, nagging cough, air hunger) Allen's What test must you do before performing an arterial puncture? - ANSWER>>>test; patency of the ulnar artery- if blood returns to hand in 15s, then the radial artery can be used for the puncture >>>5 How long should one apply pressure after an arterial puncture? - ANSWERminutes (20 min if the patient is on anticoagulant therapy) >>>more than 70 ml/hr What is excessive drainage from a chest tube? - ANSWER How should the nurse document for care following a chest tube? How often? - color and amount of drainage qh for 24h after insertion, then q8h ANSWER>>>mark date, hour, and drainage