CRITICAL CARE EXIT: HESI EXIT EXAM NOTES AND Q&A. QUICK READ ON THE MOST ESSENTIAL PARTS TO GUARANTEE EXIST EXAM SUCCESS

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Nurse plans to administer a dose of metoprolol at 0900 to a client with HTN. At 0800 nurse notes telemetry pattern shows second degree heart block with Ventricular rate of 50. Action Nurse is rev... iewing client ECG and determines PR interval prolonged. Indicates When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on right side only. Action Nurse called to a train derailment likely caused by terrorist bomb. Triage in order Client with pneumonia admitted with severe SOB, ABGs pH 7.30, PaO2 60, PaCO2 62, HCO3 35. Which needs immediate communication to HCP Assess a 78 year old with L sided HF. Symptoms Caring for a burn patient with serum potassium of 4. Question which medication Patient admitted with deep 2nd degree burns of thighs, chest and arms covering 40% BSA. Fluid shift after burn so nurse expects Patient bedridden for 2 wks with following lab values: pH 7.37, PO2 90, PCO2 40, HCO3 25, hypoalbuminemia and hypocalcemia. Priority action Which age group should nurse assess first There has been a major disaster. Triage nurse should give which patient priority Move which patient to medical surgical unit One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do Carotid picture Someone with wound vac how to make sure it is effective Magnesium antidote Patient having trouble swallowing when wife gives drink of water Chest tube becomes disconnected Patient in ventricular fibrillation Know calcium levels….there was a question with calcium 5.0 and the answer was patient with hyperthyroidism taking inderal (propanalol) Chest tube volume 125 Heart sounds audio Patient on benzos ??? Abdominal rigidity 4 patients-which one more concern 4 patients with conditions of concern-priority Patient on Heparin going for surgery in a.m.,-priority Patient with fever of 101-best nursing Dx Listening and hearing silence, then kortokoff sound what to do Patient with pancreatitis and elevated liver function-what expect of patient Patient with dark, tarry stool Patient receiving Morphine in PCA pump Vasopressin Patient comes in with Hx of MRSA Patient with thick secretions Chronic renal failure-S/S Patient would get a black tag during a disaster if he/she exhibited which S/S Know your shocks S/S (hypovolemic, cardiogenic, etc-1 Q for each) 2 RNs must check blood products together before administration Glasgow Coma Scale Myasthenia crisis vs. cholinergic crisis Diabetic ketoacidosis Hold Digoxin for HR <60 Stroke Pulmonary air embolus prevention Head trauma and seizures Hypoventilation Hyperventilation Cardiac enzymes that you need to know how often to assess after initial CVA MI treatment Ventilators Have to put in order of consideration to be delivered Early signs of cerebral hypoxia Necessary for Blood Product infusions Checking blood before infusing What does the PR interval represent Isotonic solutions Tracheostomy To assess CVA for hemorrhagic or ischemic Aphasia, agraphia, slow, cautious, anxious, memory ok Cannot recognize faces, loss of depth perception, impulsive behavior, poor judgement, constant smile, loss of tonal hearing Most important indicator of increased ICP [Show More]

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