CRITICAL CARE EXIT HESI

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1. Pulmonary air embolus prevention

- Trendelenburg (HOB down) and on left side to trap air in the right side of the

heart

2. Acute renal failure with a serum potassium of 7.5mEq/L. based on this finding

- Administer a retention enema of Kayexalate

3. Patient with Hx of chronic atrial fibrillation

- Be sure to take the prescribed daily aspirin

4. Most important for the nurse to use an IV pump and/or Buretrol when initiating

IV therapy after whichsurgical procedure

- Craniotomy

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5. Infant admitted to the NICU is tachypneic, tachycardic, and has bounding brachial

pulses

- Monitor for congestive heart failure

6. Patient in cardiac arrest and monitor shows pulseless VT

- Defibrillation with 200 to 360 joules 

7. A client admitted to the hospital is suspected of having meningitis

- Lumbar puncture

8. Head trauma and seizures

- Maintain airway is primary concern

9. Hypoventilation

- Acidosis (too much CO2)

10. Hyperventilation

- Alkalosis (too little CO2)

11. Cardiac enzymes that you need to know how often to assess after initial CVA

- Troponin (1 hour), CKMB (2-4 hrs.), Myoglobin (1-4 hrs.), LDH1 (12-24 hrs.)

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12. MI treatment

- Morphine, oxygen, nitro, ASA (NO digoxin, betablockers or atropine for these

patients)

13. Ventilators

- Make sure the alarms are on (Check every 4 hours minimum), when suctioning

give 100% O2 before and after and make no more than 3 passes-no longer than

15 seconds 

14. Have to put in order of consideration to be delivered

- Nasal cannula, simple face mask, nonrebreather mask, partial rebreather mask,

venturi mask

15. Early signs of cerebral hypoxia

- Restlessness and irritability

16. Necessary for Blood Product infusions

- 18–19-gauge needle with filter tubing

- NS only run with blood within 30 minutes of hanging

- Check vitals before infusing, at 15 minutes, 30 minutes, then every hour, and

directly after

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17. What does the PR interval represent?

- Time required for the impulse to travel from atria through the AV node

18. Tracheostomy

- Keep Kelly clamp and obturator at the bedside

19. To assess CVA for hemorrhagic or ischemic

- CT scan first

20. Heart conditions related to thrombus formation

- A-fib and A-flutter 

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