Critical Care hesi study guide 2024 quizzes and answers
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Course
Hesi
Institution
Hesi
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 infu...
Critical Care hesi study guide 2024 quizzes and answer s 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
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