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Exam (elaborations)

HESI Critical Care 2022 Questions And Answers

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HESI Critical Care 2022 Questions And Answers

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  • June 23, 2022
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  • 2021/2022
  • Exam (elaborations)
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HESI Critical Care 2022 Questions And Answers

What is ARDS characterized by? Correct Ans:- Hypoxia that persists even with 100% 02
Dyspnea
Pulmonary edema (non-cardiac associated)
Pulmonary infiltrates on cxr (white-out)

What are interventions to prevent complications of clients on mechanical ventilations with
ARDS? Correct Ans:- HOB at least 30 degrees
Daily awakening (sedation vacation)
Oral hygiene
Mobilization

What type of individuals have an increased risk and mortality rate from ARDS? Correct
Ans:- Those with alcohol abuse history

What type of lung sounds are present in ARDS? Correct Ans:- Crackles (rales)
Wheezing
Or decreased breath sounds
Increasing diminished breath sounds

What other clinical manifestations are present with ARDS? Correct Ans:-
Intercostal/substernal retractions
Cyanosis, pallor, mottled skin
Hypoxemia: PaO2 <50 with FiO2 >60%
Verbalized anxiety, restlessness, confusion, & agitation

What are nursing interventions for a patient with ARDS? Correct Ans:- Suction only when
secretions are present
Position client for maximal lung expansion
Monitor signs of hypoxemia & oxygen toxicity
Monitor breath sounds for a PTX
Provide emotional support
Monitor ABGS
Monitor ECGs

What are normal values for PaO2? Correct Ans:- 80 - 100

What are normal values for PaCO2? Correct Ans:- 35 - 45

What would elevated PaCO2 levels indicate? Correct Ans:- PNA
Asthma
COPD
Anesthesia effects

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