HESI RN CRITICAL CARE V2 CERTIFICATION
EVALUATION COMPLETE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ HESI HINT ARDS.
Answer: unexpected, catastrophic pulmonary complication
occurring in person with no previous pulmonary problems
Clients are critical ill and are managed in an ICU
mortality rate is 50%
◉ interventions to prevent complications of client mechanically
ventilated with ARDs.
Answer: Elevate HOB to at least 30 degrees
Assist with daily awakening (Sedation vacation)
Comprehensive oral hygiene program
Comprehensive mobilization program
,◉ ARDs increase risk in persons with.
Answer: alcohol abuse
◉ Nursing interventions for ARDS.
Answer: 1. position client for maximal lung expansion
2. Monitor client for signs of hypoxemia and O2 Toxicity
3. Monitor breath sounds for pneumothorax
4. Provide emotional support to decrease anxiety and allow vent to
"work" lungs
5. Monitor client hemodynamically with essential Vital signs and
cardiac monitor for alteration in QRS waveforms
6. Monitor ABGs
7. Monitor vital organ status; CNS; LOC; renal system output;
myocardium (BP, apical pulse)
8. Monitor fluid and electrolytes
, 9. Monitor metabolic status through routine lab work
◉ Nursing interventions HESI HINTS.
Answer: SUCTION ONLY WHEN secretions are present
◉ Peaked T waves could mean.
Answer: early sign of ARDS (similar to what is seen with
hyperkalemia)
◉ Prolonged PR interval could mean.
Answer: higher potassium levels
◉ No P waves and ST elevations are indicative of.
Answer: myocardial hypoxemia
◉ Respiratory vs metabolic (ABGs).
Answer: Respiratory system is first responder if client status is not
normal;
followed by metabolic (kidneys) which can take up to 24-48 hours to
compensate
EVALUATION COMPLETE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ HESI HINT ARDS.
Answer: unexpected, catastrophic pulmonary complication
occurring in person with no previous pulmonary problems
Clients are critical ill and are managed in an ICU
mortality rate is 50%
◉ interventions to prevent complications of client mechanically
ventilated with ARDs.
Answer: Elevate HOB to at least 30 degrees
Assist with daily awakening (Sedation vacation)
Comprehensive oral hygiene program
Comprehensive mobilization program
,◉ ARDs increase risk in persons with.
Answer: alcohol abuse
◉ Nursing interventions for ARDS.
Answer: 1. position client for maximal lung expansion
2. Monitor client for signs of hypoxemia and O2 Toxicity
3. Monitor breath sounds for pneumothorax
4. Provide emotional support to decrease anxiety and allow vent to
"work" lungs
5. Monitor client hemodynamically with essential Vital signs and
cardiac monitor for alteration in QRS waveforms
6. Monitor ABGs
7. Monitor vital organ status; CNS; LOC; renal system output;
myocardium (BP, apical pulse)
8. Monitor fluid and electrolytes
, 9. Monitor metabolic status through routine lab work
◉ Nursing interventions HESI HINTS.
Answer: SUCTION ONLY WHEN secretions are present
◉ Peaked T waves could mean.
Answer: early sign of ARDS (similar to what is seen with
hyperkalemia)
◉ Prolonged PR interval could mean.
Answer: higher potassium levels
◉ No P waves and ST elevations are indicative of.
Answer: myocardial hypoxemia
◉ Respiratory vs metabolic (ABGs).
Answer: Respiratory system is first responder if client status is not
normal;
followed by metabolic (kidneys) which can take up to 24-48 hours to
compensate
