Critical Care HESI
Exam
A client recovering from a percutaneous coronary intervention
(PCI) after an acute myocardial infarction is being transferred
from the PACU to the Cardiac ICU. Which assessment finding
should the PACU nurse inform the healthcare provider of
immediately?
a. onset of chest pain
b. need to apply pressure dressing
c. presence of occasional PVCs
d. absence of any urinary output during PACU stay
a. onset of chest pain
This suggests the onset of another MI and reocclusion of a
vessel.
What is the preferred treatment of an acute MI within 12 hours
of symptom onset?
,PCI; places a stent in the affected coronary artery
How often must a PCI pressure dressing site be assessed?
q30min for 4 hours
qh thereafter
Central Venous Pressure (CVP)
the pressure of blood in the thoracic vena cava, near the right
atrium of the heart; reflects the amount of blood returning to the
heart and the ability of the heart to pump the blood into the
arterial system; normal is 2-6 mmHg
Sensitivity of a pacemaker
pacing devices ability to detect what electrical activity is being
generated by the patient's heart to prevent any competition
between the hearts intrinsic activity
Contrast Induced Nephropathy (CIN)
A sudden deterioration in renal function that is caused by
intravascular administration of iodinated contrast medium;
typically seen with angiplasty/angiography
, Signs of tension pneumothorax
1. affected side will have decreased or absent lung sounds
2. cyanosis
3. Tracheal deviation (late sign)
4. distended neck veins
5. tachycardia, tachypnea
Pneumatic Antishock Garment
An inflatable device that covers the legs and abdomen; used to
splint the lower extremities or pelvis, or to control bleeding in
the lower extremities or pelvis.
- used for intraperitoneal hemorrhage
What is the expected ABG of a pulmonary embolism?
Tachypnea and tachycardia--> respiratory alkalosis
A client is brought to the emergency department following a
motor vehicle accident. Initial assessment reveals that the client
is unconscious with a blood pressure of 165/73 mmHg, HR 50
bpm, RR 8 and irregular, temperature of 103 F. What do you
suspect is happening?
The findings reveal Cushing's Triad (hypertension with
widening pulse pressure, bradycardia and bradypnea); this
indicates increased ICP
Exam
A client recovering from a percutaneous coronary intervention
(PCI) after an acute myocardial infarction is being transferred
from the PACU to the Cardiac ICU. Which assessment finding
should the PACU nurse inform the healthcare provider of
immediately?
a. onset of chest pain
b. need to apply pressure dressing
c. presence of occasional PVCs
d. absence of any urinary output during PACU stay
a. onset of chest pain
This suggests the onset of another MI and reocclusion of a
vessel.
What is the preferred treatment of an acute MI within 12 hours
of symptom onset?
,PCI; places a stent in the affected coronary artery
How often must a PCI pressure dressing site be assessed?
q30min for 4 hours
qh thereafter
Central Venous Pressure (CVP)
the pressure of blood in the thoracic vena cava, near the right
atrium of the heart; reflects the amount of blood returning to the
heart and the ability of the heart to pump the blood into the
arterial system; normal is 2-6 mmHg
Sensitivity of a pacemaker
pacing devices ability to detect what electrical activity is being
generated by the patient's heart to prevent any competition
between the hearts intrinsic activity
Contrast Induced Nephropathy (CIN)
A sudden deterioration in renal function that is caused by
intravascular administration of iodinated contrast medium;
typically seen with angiplasty/angiography
, Signs of tension pneumothorax
1. affected side will have decreased or absent lung sounds
2. cyanosis
3. Tracheal deviation (late sign)
4. distended neck veins
5. tachycardia, tachypnea
Pneumatic Antishock Garment
An inflatable device that covers the legs and abdomen; used to
splint the lower extremities or pelvis, or to control bleeding in
the lower extremities or pelvis.
- used for intraperitoneal hemorrhage
What is the expected ABG of a pulmonary embolism?
Tachypnea and tachycardia--> respiratory alkalosis
A client is brought to the emergency department following a
motor vehicle accident. Initial assessment reveals that the client
is unconscious with a blood pressure of 165/73 mmHg, HR 50
bpm, RR 8 and irregular, temperature of 103 F. What do you
suspect is happening?
The findings reveal Cushing's Triad (hypertension with
widening pulse pressure, bradycardia and bradypnea); this
indicates increased ICP
