HESI CRITICAL CARE 2023/ CRITICAL CARE HESI EXIT EXAM 2023 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|RATED A+

HESI CRITICAL CARE 2023/ CRITICAL CARE HESI EXIT EXAM 2023 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|RATED A+ 1. 1.ID: The nurse is assessing a client who is 12 hours postoperative for the removal of a benign pituitary brain tumor and has been placed in a drug induced coma with normal saline 0.9% infusing at 125 mL/hr. The client's heart rate is 90 beats/minute, blood pressure 100/60 mmHg, and the indwelling urinary catheter has drained 250 mL of pale yellow urine in the last 30 minutes into the collection bag. After reporting these 昀椀ndings to the healthcare provider, which action should the nurse implement? A. Identify the underlying cause of this condition. Incorrect B. Prepare to administer desmopressin (DDAVP). Correct C. Decrease the intravenous 昀氀uids to a maintenance rate. D. Replace 昀氀uid losses with D5W every shift. Neurogenic diabetes insipidus (DI) is a condition that can occur when there is trauma to the brain such as tumors or injury to the brain in particular the pituitary or hypothalamus area. DI can also occur with cerebral edema present. The antidiuretic hormone de昀椀ciency occurs rapidly and results in polyuria, anywhere between 5- 40 liters of urine/24 hours. The client demonstrates signs and symptoms of hypovolemia. Electrolyte imbalances include hypernatremia, along with hypokalemia and hypercalcemia when it is neurogenic etiology. Clients with neurogenic DI are primarily controlled through administration of exogenous ADH preparations, of which desmopressin (DDAVP) is most commonly used. Fluid output is carefully monitored and 昀氀uids are replaced every hour. Awarded 0.0 points out of 1.0 possible points. 2. 2.ID: An intubated client is in the process of being weaned off ventilator support. The client's baseline parameters are temperature 98.2 F (36.8 C), heart rate 88 beats/minute, respirations 14 breaths/minute, blood pressure 112/78 mmHg, and oxygen saturation 94%. Which assessment 昀椀ndings would indicate to the nurse that the client is tolerating the weaning procedure? (Select all that apply.)