A patient with a subarachnoid hemorrhage is intubated and placed on a mechanical volume-cycled ventilator in the spontaneous intermittent mandatory volume (SIMV) mode, FIO₂ 40%, rate 14, VT 700, with 10 cm of PEEP. When monitoring the patient, the nurse will need to notify the health care provider if the patient develops

Question

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Increases in JVD in a patient with a subarachnoid hemorrhage may indicate an increase in intracranial pressure (ICP) and that the PEEP is too high for this patient. A respiratory rate of 18, O₂ saturation of 94%, and greenish-brown nasogastric tube drainage are normal.

A Patient with a Subarachnoid Hemorrhage Is Intubated and Placed