Critical Care hesi
pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 - correct
answer-respiratory acidosis (if CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention - correct answer-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? - correct answer-increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS - correct answer-33
DKA math question - correct answer-1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention? - correct
answer-assist 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? - correct answer-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? - correct answer-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 - correct answer-bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the cardioversion was
successful? - correct answer-normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention - correct
answer-position client on the left side
pt. receiving dopamine. monitor for what - correct answer-monitor urinary output
during insertion of swan gans, what should nurse do - correct answer-monitor for
dysrhythmias
which vital signs are contraindicative of ICP? - correct answer-PaCO2 of 55 (normal PaCO2
should be between 35-45; when increased it will cause more ICP)
SIADH with normal lab values associated with this - correct answer-hyperkalemia and
hyponatremia
, pt. glasgow coma scale of 14. what should the nurse do - correct answer-document the
findings
when caring for a client on a ventilator which finding shows the airway is open? - correct
answer-bilateral 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? - correct answer-give 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 - correct answer-increase the sensitivity
which of these drugs are the strongest for most effective vasodilators - correct
answer-lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs - correct answer-3.5 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 - correct answer-have the
client take a urine pregnancy test
pt. with chest tube has the tube dislodged from pleural space; intervention - correct
answer-place 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 - correct answer-the IA
remain patent
pt. arrives to the ED with pain. description should prompt nurse to suspect an MI - correct
answer-produces chest heaviness with left arm pain
what equipment should always be made available at the bedside for a pt. with a chest tube -
correct answer-occlusive dressing
things should be done if an ET tube is in place - correct answer-chest xray
chest rises and falls bilaterally
auscultate breath sounds
pt. comes in with severe hypotension. what medication should you expect a prescription for?
- correct answer-amiodaron
female has been asystole for 20 minutes and there has been no change in the client's
condition; intubated; what should the nurse do - correct answer-talk to the family members in
a private area about desire to continue life support
47 year old female that comes in and thinks they have indigestion due to vigorous workout.
which problem has highest priority? - correct answer-decreased cardiac output
pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 - correct
answer-respiratory acidosis (if CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention - correct answer-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? - correct answer-increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS - correct answer-33
DKA math question - correct answer-1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention? - correct
answer-assist 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? - correct answer-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? - correct answer-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 - correct answer-bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the cardioversion was
successful? - correct answer-normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention - correct
answer-position client on the left side
pt. receiving dopamine. monitor for what - correct answer-monitor urinary output
during insertion of swan gans, what should nurse do - correct answer-monitor for
dysrhythmias
which vital signs are contraindicative of ICP? - correct answer-PaCO2 of 55 (normal PaCO2
should be between 35-45; when increased it will cause more ICP)
SIADH with normal lab values associated with this - correct answer-hyperkalemia and
hyponatremia
, pt. glasgow coma scale of 14. what should the nurse do - correct answer-document the
findings
when caring for a client on a ventilator which finding shows the airway is open? - correct
answer-bilateral 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? - correct answer-give 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 - correct answer-increase the sensitivity
which of these drugs are the strongest for most effective vasodilators - correct
answer-lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs - correct answer-3.5 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 - correct answer-have the
client take a urine pregnancy test
pt. with chest tube has the tube dislodged from pleural space; intervention - correct
answer-place 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 - correct answer-the IA
remain patent
pt. arrives to the ED with pain. description should prompt nurse to suspect an MI - correct
answer-produces chest heaviness with left arm pain
what equipment should always be made available at the bedside for a pt. with a chest tube -
correct answer-occlusive dressing
things should be done if an ET tube is in place - correct answer-chest xray
chest rises and falls bilaterally
auscultate breath sounds
pt. comes in with severe hypotension. what medication should you expect a prescription for?
- correct answer-amiodaron
female has been asystole for 20 minutes and there has been no change in the client's
condition; intubated; what should the nurse do - correct answer-talk to the family members in
a private area about desire to continue life support
47 year old female that comes in and thinks they have indigestion due to vigorous workout.
which problem has highest priority? - correct answer-decreased cardiac output
