HESI Critical Care 2021 TEST BANK RN

1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO250, anD HCO3 24. What does the patient have?  Resp. Acidosis *Remember: If the CO2 is high it will always be resp. acidosis 2). Female comes in the ED and saysthat her “heart is pounding outside of her chest. Client isin SVT. What is the nursing intervention?  Coach client in relaxation and deep breathing. 3). This is an insulin PROTOCOL question. You will be given a protocol that you need to followby the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is should you do?  Increase drip by 1 unit/hour 4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS.  33 5). DKA math question  1,000mL NS with 30 Meq of Sodium 6). Older client comesin with CAP and SpO2 89%. What isthe priority intervention?  Assist client with turning, coughing, and deep breathing 7). Pt received an ETT 7 days ago and is currently on 50% O2. The pt is currently anxious and hyperventilating. What is the priority intervention?  Auscultate lungs 8). Client has not been taking cortisone for either 2 weeks or 2 months and husband brings her into the ED. Husband states that she has not been feeling well and that she needed help gettingready today. (Patient has SIAH). What should you do?  Initiate fall precautions *Remember that SIAH causes seizures so you have to put the client on fall precaution 9). UAP is coming to assist a nurse in a situation where the pt is having SVT and the nurse hasto prepare for cardioversion. What task can the UAP do?  Bring Resuscitation cart to the bedside 10). A pt has a cardioversion due to uncontrolled A Fib. What vital showsthat the cardioversionwas successful?