Critical Care Hesi Latest Update 100% Complete and Verified
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
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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
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