Hesi critical care exam with ngn

Hesi critical care exam with ngn newest 2024 -2025 actual exam complete 3 00 questions and correct detailed answers (verified answers)| already graded A+ A client diagnosed with pancreatitis complains of severe epigastric pain. After administering a narcotic analgesic, the client insists on sitting up and leaning forward. Which action shou ld the nurse implement? a. Provide a bedside table for client to lean across. b. Encourage bed rest until analgesic takes effect. c. Raise the head of the bed to a 90 degree angle. d. Place the bed in the reverse Trendelenburg position.✔✔ANSWER ➖a. Provide a bedside table for client to lean across. The Nurse is caring for a client admitted to the intensive care unit with shortness of breath and abdominal pain one week after undergoing bariatric surgery. The client's current vital signs are rectal temperatur e 101.5 F, heart rate 132 bpm, respirations 20 bpm, blood pressure 88/50 mmHg, and oxygen saturation 94%. Which intervention should the nurse implement first? a. Administer a prescribed PRN antipyretic. b. Transport to radiology for an abdominal x -ray. c. Apply oxygen at 2 liters per nasal cannula. d. Infuse a 1,000 mL normal saline bolus. ✔✔ANSWER ➖Infuse a 1,000 mL normal saline bolus. The nurse is evaluating a client's central venous pressure (CVP) readings that are trending upwards. Which nursing problem is supported by the pathophysiologic mechanism most likely causing the increases? a. Decreased cardiac output. b. Ineffective periphe ral tissue perfusion. c. Deficient fluid volume. d. Ineffective airway clearance. ✔✔ANSWER ➖Decreased cardiac output. A client who is admitted to the emergency room following a motorcycle accident is having difficulty breathing. While assessing the client's chest and lungs, the nurse notes that there are no breath sounds over the left fields. Which actions should the nurse implement? (Select all that apply) a. Place client in Trendelenburg position. b. Apply a high -flow oxygen by face mask c. Elevate the hea d of the bed 45 degrees d. Withhold narcotic pain medication. e. Obtain a chest tube insertion kit. ✔✔ANSWER ➖b. Apply a high -flow oxygen by face mask c. Elevate the head of the bed 45 degrees e. Obtain a chest tube insertion kit Five days after admission to the intensive care unit, a client remains confused to time and place even after frequent attempts at reorientation. Which intervention should the nurse implement to ensure the client's safety? a. Ask the family to obtain a 24 -hour sitter. b. Increase t he frequency of direct observation. c. Apply a vest restraint. d. Administer a PRN sedative. ✔✔ANSWER ➖Increase the frequency of direct observation. A client with a pulmonary embolism is receiving streptokinase 100,000 international units (IU)/hour for the next 24 hours. The pharmacy dispensed streptokinase 1,500,000 IU in 500 mL of 0.9% normal saline. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numeric value only, and round to the nearest whole number )✔✔ANSWER ➖15