A patient is brought to the emergency department by ambulance after a motor vehicle accident in which the patient received blunt trauma to the chest
The patient is in acute respiratory failure, is intubated, and is transferred to the ICU. The critical-care nurse caring for the patient in the ICU monitors many parameters of care. What are these parameters of care the nurse monitors? (Mark all that apply.)
A) Communication ability
B) Respiratory system
C) Oral intake
D) Arterial blood gases
E) Vital signs
Ans: B, D, E
Feedback: Patients are usually managed in the intensive care unit. The nurse assesses the patient's respiratory status by monitoring the level of responsiveness, arterial blood gases, pulse oximetry, and vital signs. In addition, the nurse assesses the entire respiratory system and implements strategies (eg, turning schedule, mouth care, skin care, range of motion of extremities) to prevent complications. The nurse also assesses the patient's understanding of the management strategies that are used and initiates some form of communication to enable the patient to express concerns and needs to the health care team. Options A and C are incorrect; a patient in respiratory failure is intubated. He cannot communicate and he cannot take in anything orally.
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