Advanced Med surg Hesi Exam Questions &
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ARDS is an unexpected, catastrophic pulmonary
complication occuring in a person with no previous
HH 1 pulmonary problems. Clients are critically ill and are
managed in an intensive care unit. The mortality rate is
high
Interventions to prevent complications of clients on
mechanical ventilation with ARDS
HH 2 -elevate the high of the bed at least 30 degrees
-Assist with daily awakening
-Implement a comprehensive oral hygiene plan
-Implement a comprehensive mobilization program
HH 3 Suction only when secretions are present
Before drawing a sample for ABGs from the radial
artery, perform the Allen test to assess collateral
circulation. Make the clients hand blanch by
obliterating both the radial and the ulnar pulses. Then
HH 4
release the pressure over the ulnar artery only. If flow
through the ulnar artery is good, flushing will be seen
immediately. The allen test is then positive and the
radial artery can be used for puncture.
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Cardinal signs of Acute Respiratory Failure in children
HH 5 are restlessness, tachypnea, tachycardia, and
diaphoresis
Pco2 >45 or Po2 <60 on 50% 02 signifies respiratory
HH 6 failure
-A child in severe distress should be on 100% 02
What Po2 values indicate Po2 below 60
respiratory failure in
adults?
What blood value Pco2 above 45
indicates hypercapnia?
Identify the condition that Hypoxemia
exists when the Po2 is less
than 50 and Fio2 is greater
than 60%
List three symptoms of Dyspnea/tachypnea
respiratory failure in Intercostal and sternal retractions
adults? cyanosis
Congenital heart disease
Infection or sepsis
List four common causes
Respiratory distress syndrome
of respiratory
Aspiration
Fluid overload or dehydration
What percentage of 02 100%
should a child in severe
respiratory distress
receive?
Early signs of shock are agitation and restlessness
HH 7
resulting from cerebral hypoxia
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Severe shock leads to widespread cellular injury and
impairs the integrity of the capillary membranes. Fluid
and osmotic proteins seep into the extravascular
spaces, further reducing cardiac output.
HH 8
A vicious circle of decreased perfusion to all cellular
level activities ensues. All organs are damaged and if
perfusion problems persist the damage can be
permanent.
All types of shock can lead to systemic inflammatory
HH 9 response syndrome (SIRS) and results in multiple
organ dysfunction syndrome (MODS)
If cardiogenic shock exists in the presence of
pulmonary edema, position the client to reduce
HH 10
venous return (high fowlers) to decrease further
venous return to the left ventricle
All vasopressor and vasodilator drugs are potent and
HH 11
dangerous and require that the client be titrated
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