NURSING C488 HESI CRITICAL
CARE Q & As ALL ANSWER
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HESI CRITICAL CARE:
pt. long history of smoking; sob; ABG pH7.25, PCO2
50,
HCO3 24
respiratory acidosis (if CO2 is high it will always be
resp. acidosis)
"heart is pounding outside of her chest" client is in
SVT; intervention
coach client in relaxation and deep breathing
insulin protocol; pt. insulin is infused at 5 units/hr
and her current glucose reading is 165. what to do?
increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS
33
,DKA math question
1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what
is priority intervention?
assist client with turning, coughing, and deep
breathing
pt. received ETT 7 days ago and is currently on
50% O2. Pt is currently anxious and
hyperventilating. what is the priority intervention?
,auscultate lungs
client has not been taking cortisone for either 2
weeks or 2 months and husband bring her into ED;
not feeling well.
SIADH. what to do?
initiate fall precautions (SIADH causes seizures)
UAP assisting nurse in situation where pt is
having SVT and nurse has to prepare for
cardioversion. what task for UAP
bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what
vital shows that the cardioversion was successful?
normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is
anxious with SOB; intervention
position client on the left side
pt. receiving dopamine. monitor
for what monitor urinary output
during insertion of swan gans, what should nurse
do monitor for dysrhythmias
which vital signs are contraindicative of ICP?
PaCO2 of 55 (normal PaCO2 should be between 35-
45;
, when increased it will cause more ICP)
SIADH with normal lab values associated with this
hyperkalemia and hyponatremia
pt. glasgow coma scale of 14. what should the
nurse do document the findings
when caring for a client on a ventilator which
finding shows the airway is open?
bilateral breath sounds can be auscultated
pt. is in the ICU after a colon resection. vitals are
HR 135, temp 103, BP 88/65, urine output 10 mL/hr.
intervention? give a 500 mL IV bolus challenge
(another question similar with low BP and same
answer)
client with syncopal episodes due to 3rd degree
block. receives transcutaneous pacemaker;
several fails increase the sensitivity
which of these drugs are the strongest for most
effective vasodilators
lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs
3.5 mL/hr
female falls down a flight of stairs and is having
trouble walking and bearing weight. prescription for
hydrocodone for pain and an xray. intervention
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