Critical Care HESI Remediation

The nurse is caring for a client who just been brought into the emergency department after a myocardial infarction. Which action is the priority for this client? a. Administer pain medications. b. Begin educating the client about what to expect in the cath lab. c. Administer 2-4L oxygen by nasal cannula. d. Obtain an electrocardiogram. - ANS-c The nurse is preparing discharge instructions for a client diagnosed with acute coronary syndrome. Which is an expected outcome when effective client education is provided? a. The client will verbalize lifestyle changes that are needed. b. The client will require additional teaching. c. The client will question the need to take hypertensive medications. d. qThe client will refuse to adhere to a cardiac diet. - ANS-a The nurse assesses a client with suspected acute pericarditis. Which assessment finding is most consistent with this condition? a. Slow deep breathing. b. Stabbing chest pain. c. Bradycardia. d. Pain relieved by supine position. - ANS-b A client is admitted to the coronary intensive care unit with a diagnosed acute heart failure (HF) and myocardial infarction (MI). Which medication would the nurse anticipate the healthcare provider to prescribed to the client to decrease the preload and afterload, slow down their respirations, and reduce their anxiety and pain due to the MI? a. Enalapril (Vasotec). b. Morphine sulfate (Contin, MSIR). c. Hydrochlorothiazide (HCTZ, Urozide). d. Diazepam (Valium, Diastat, Diazemuls). - ANS-b The nurse is planning care for a client who was just diagnosed with acute pericarditis. Which screening test should the nurse educate the client about? a. Creatinine clearance. b. 12-lead electrocardiogram. c. Dobutamine stress test. d. Blood transfusion. - ANS-b An unstable client with hyperglycemic hyperosmolar syndrome (HHS) has been assigned to the nurse. Which action should the nurse take initially? a. Insert a urinary catheter. b. Prepare to administer isotonic IV fluids. c. Evaluate the client's airway. d. Place two large bore IVs. - ANS-c An arterial blood gas (ABG) analysis is drawn for a client. The results show pH of 7.30; PaCO2 of 68 mm Hg and an HCO3 of 24 mEq/L. What should the nurse interpret this blood gas as? a. Compensated metabolic alkalosis. b. Uncompensated respiratory acidosis. c. Compensated metabolic acidosis. d. Uncompensated respiratory alkalosis. - ANS-b The nurse is assessing a client who is experiencing shortness of breath, intercostal retractions, nasal flaring, inspiratory and expiratory wheezing, who has not not shown any respiratory improvement after two administrations of albuterol nebulizer treatments. Which is a common trigger for acute asthma exacerbation? a. Ingested allergen. b. Exposure to warm air. c. Hypocapnia. d. Inactivity. - ANS-a...