Hesi critical care exam with ngn newest 2024 -2025 actual exam complete 300 questions and correct detailed answers (verified answers)| already graded A+ A client who has a craniotomy yesterday develops an oral temperature of 103F. The nurse gives the client a tepid sponge bath. With instituting measure to reduce the clients fever, wha t additional action should be taken to prevent an increase in intracranial pressure? ✔ANSWER -Limit exposure to shivering A client has been treated for uncontrolled A. Fib with cardioversion. Following the cardioversion, what assessment finding indicated to the nurse the desired outcome of the procedure was achieved? ✔ANSWER -
Normal sinus rhythms with rate for 84 What interven tion is most important for the nurse ti implement when dealing with family members of a critically ill client? ✔ANSWER -Off the family current information about the clients condition The nurse in the hospital emergency department is preparing to administer fomepizole to a client with ethylene glycol (antifreeze) intoxication. The nurse should plan to administer this medication by which rout e? Oral route Intramuscular route Intravenous (IV) route Through a nasogastric tube ✔✔ANSWER ➖Intravenous (IV) route The nurse is reviewing the medical record of a client transferred to the medical unit from the critical care unit. The nurse notes that the client received intra -aortic balloon pump (IABP) therapy while in the critical care unit. The nurse suspects that th e client received this therapy for which condition? Heart failure Pulmonary edema Cardiogenic shock Aortic insufficiency ✔✔ANSWER ➖Cardiogenic shock Rationale: IABP therapy most often is used in the treatment of cardiogenic shock and is most effective if instituted early in the course of treatment. Use of IABP therapy is contraindicated in clients with aortic insufficiency and thoracic and abdominal aneurysms. This therapy is not used in the treatment of congestive heart failure or pulmonary edema. The emergency department nurse is monitoring a client who received treatment for a severe asthma attack. The nurse determines that the client's respiratory status has worsened if which is noted on assessment? Diminished breath sounds Wheezing during inhalat ion Wheezing during exhalation Wheezing throughout the lung fields ✔✔ANSWER ➖Diminished breath sounds Rationale: Diminished breath sounds may be an indication of severe obstruction and possibly respiratory failure. Wheezing is not a reliable manifestatio n to determine the severity of an asthma attack. For wheezing to occur, the client must be able to move sufficient air to produce breath sounds. Wheezing usually occurs first on exhalation. As the asthma attack progresses, the client may wheeze during both inspiration and expiration.
Normal sinus rhythms with rate for 84 What interven tion is most important for the nurse ti implement when dealing with family members of a critically ill client? ✔ANSWER -Off the family current information about the clients condition The nurse in the hospital emergency department is preparing to administer fomepizole to a client with ethylene glycol (antifreeze) intoxication. The nurse should plan to administer this medication by which rout e? Oral route Intramuscular route Intravenous (IV) route Through a nasogastric tube ✔✔ANSWER ➖Intravenous (IV) route The nurse is reviewing the medical record of a client transferred to the medical unit from the critical care unit. The nurse notes that the client received intra -aortic balloon pump (IABP) therapy while in the critical care unit. The nurse suspects that th e client received this therapy for which condition? Heart failure Pulmonary edema Cardiogenic shock Aortic insufficiency ✔✔ANSWER ➖Cardiogenic shock Rationale: IABP therapy most often is used in the treatment of cardiogenic shock and is most effective if instituted early in the course of treatment. Use of IABP therapy is contraindicated in clients with aortic insufficiency and thoracic and abdominal aneurysms. This therapy is not used in the treatment of congestive heart failure or pulmonary edema. The emergency department nurse is monitoring a client who received treatment for a severe asthma attack. The nurse determines that the client's respiratory status has worsened if which is noted on assessment? Diminished breath sounds Wheezing during inhalat ion Wheezing during exhalation Wheezing throughout the lung fields ✔✔ANSWER ➖Diminished breath sounds Rationale: Diminished breath sounds may be an indication of severe obstruction and possibly respiratory failure. Wheezing is not a reliable manifestatio n to determine the severity of an asthma attack. For wheezing to occur, the client must be able to move sufficient air to produce breath sounds. Wheezing usually occurs first on exhalation. As the asthma attack progresses, the client may wheeze during both inspiration and expiration.
