HESI CRITICAL CARE 2024 VERSION A AND B/
CRITICAL CARE HESI EXIT EXAM 2024
QUESTIONS AND CORRECT ANSWERS|AGRADE
Terms in this set (50)
1. Hypoxemia that persists even when 100% oxygen is
given.
2. Decreased pulmonary compliance.
3. Dyspnea.
4. Non-cardiac-associated bilateral pulmonary
ARDS Characterized by:
edema.
5. Dense pulmonary infiltrates on radiography. No
abnormal lung sounds are present on auscultation
because the edema of ARDS occurs first in the
interstitial spaces, not in the airways.
ARDS is an unexpected, catastrophic pulmonary
complication occurring in a person with no previous
pulmonary problems. Clients are critically ill and are
HESI Hint ARDS
managed in an ICU setting.
Mortality rate is high (50%)
HESI Hint- Interventions to Elevate HOB to at least 30 degrees.
prevent complications on Assist with daily awakening ("sedation vacation").
mechanical ventilation Implement a comprehensive oral hygiene program.
with ARDS Implement a comprehensive mobilization program.
, 1. Exacerbation of COPD.
2. Pneumonia.
3. TB.
4. Contusion.
5. Aspiration.
Common causes of
6. Inhaled toxins.
respiratory failure
7. Emboli.
8. Drug overdose.
9. Fluid overload.
10. DIC.
11. Shock
A. dyspnea, hyperpnea, crackles (or rales).
B. Intercostal retractions.
C. cyanosis, pallor
Nursing Assessment ARDS D. Hypoxemia: PO <50 mmHg with FiO2 >60%.
E. Diffuse pulmonary infiltrates seen on chest
radiograph as "white-out" appearance.
F. Verbalized anxiety, restlessness.
A. Position client for maximal lung expansion.
B. Monitor client for signs of hypoxemia and oxygen
toxicity.
C. Monitor breath sounds for pneumothorax.
D. Provide emotional support to decrease anxiety and
allow ventilatory to "work" the lungs.
Nursing Plans and
E. Monitor client hemodynamically with essential vital
Interventions ARDS
signs and cardiac monitor.
F. Monitor arterial blood gases (ABGs) routinely.
G. Monitor vital organ status: CNS, LOC, renal system
output, and myocardium [apical pulse, BP]).
H. Monitor fluid and electrolyte balance.
I. Monitor metabolic status through routine lab work.
Do not routinely suction; Suction only when
HESI Hint Suctioning
secretions are present
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