CRITICAL CARE HESI EXAM QUESTIONS AND ANSWERS WITH
COMPLETE VERIFIED 100% SOLUTIONS GRADED A+
ARDS Characterized by:
1. Hypoxemia that persists even when 100% oxygen is given.
2. Decreased pulmonary compliance.
3. Dyspnea.
4. Non-cardiac-associated bilateral pulmonary 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.
HESI Hint ARDS
ARDS is an unexpected, catastrophic pulmonary complication occurring in a person
with no previous pulmonary problems. Clients are critically ill and are managed in an
ICU setting.
Mortality rate is high (50%)
HESI Hint- Interventions to prevent complications on mechanical ventilation with
ARDS
Elevate HOB to at least 30 degrees.
Assist with daily awakening ("sedation vacation").
Implement a comprehensive oral hygiene program.
Implement a comprehensive mobilization program.
Common causes of respiratory failure
1. Exacerbation of COPD.
2. Pneumonia.
3. TB.
4. Contusion.
, 5. Aspiration.
6. Inhaled toxins.
7. Emboli.
8. Drug overdose.
9. Fluid overload.
10. DIC.
11. Shock
Nursing Assessment ARDS
A. dyspnea, hyperpnea, crackles (or rales).
B. Intercostal retractions.
C. cyanosis, pallor
D. Hypoxemia: PO <50 mmHg with FiO2 >60%.
E. Diffuse pulmonary infiltrates seen on chest radiograph as "white-out" appearance.
F. Verbalized anxiety, restlessness.
Nursing Plans and Interventions ARDS
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.
E. Monitor client hemodynamically with essential vital 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.
HESI Hint Suctioning
Do not routinely suction; Suction only when secretions are present
HESI Hint Allen test
Before drawing a sample for ABGs from the radial artery, perform the Allen test to
assess collateral circulation.
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 SUPERGRADES01. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.69. You're not tied to anything after your purchase.
