Exam (elaborations)
Critical Care hesi 2024/2025 already graded A+
- Course
- Institution
Critical Care hesi 2024/2025 already graded A+
[Show more]
Content preview
Critical Care hesipt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 - ANSrespiratory acidosis (if
CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention - ANScoach 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? - ANSincrease drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS - ANS33
DKA math question - ANS1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention? - ANSassist 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? - ANSauscultate 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? - ANSinitiate 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 - ANSbring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the cardioversion was
successful? - ANSnormal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention - ANSposition
client on the left side
pt. receiving dopamine. monitor for what - ANSmonitor urinary output
during insertion of swan gans, what should nurse do - ANSmonitor for dysrhythmias
which vital signs are contraindicative of ICP? - ANSPaCO2 of 55 (normal PaCO2 should be
between 35-45; when increased it will cause more ICP)
SIADH with normal lab values associated with this - ANShyperkalemia and hyponatremia
, pt. glasgow coma scale of 14. what should the nurse do - ANSdocument the findings
when caring for a client on a ventilator which finding shows the airway is open? - ANSbilateral
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? - ANSgive 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 - ANSincrease the sensitivity
which of these drugs are the strongest for most effective vasodilators - ANSlidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs - ANS3.5 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 - ANShave the client take a urine pregnancy
test
pt. with chest tube has the tube dislodged from pleural space; intervention - ANSplace an
occlusive dressing with take on 3 sides
postop client admitted to ED with intra-arterial cannula; heparin infusing at 2 units per mL. what
finding indicates the heparin has achieved therapeutic use - ANSthe IA remain patent
pt. arrives to the ED with pain. description should prompt nurse to suspect an MI - ANSproduces
chest heaviness with left arm pain
what equipment should always be made available at the bedside for a pt. with a chest tube -
ANSocclusive dressing
things should be done if an ET tube is in place - ANSchest xray
chest rises and falls bilaterally
auscultate breath sounds
pt. comes in with severe hypotension. what medication should you expect a prescription for? -
ANSamiodaron
female has been asystole for 20 minutes and there has been no change in the client's condition;
intubated; what should the nurse do - ANStalk to the family members in a private area about
desire to continue life support
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ashley96. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now