HESI RN EVOLVE Critical Care Practice Quiz
A client who has experienced trauma is admitted to the intensive care unit (ICU). The nurse's initial
... [Show More] assessment findings include a Glasgow Coma Scale score of (3), pupils fixed and dilated with an absence of corneal reflex, blood pressure of 80/30 mmHg, core temperature of 95.7°F (35.4° C). The client's spouse asks the nurse when the client will wake up. How should the nurse respond?
A) "Your spouse's condition indicates irreversible damage."
B) "Let me contact the health care provider to answer your questions."
C) "Each person is different and we need to wait and see what happens."
D) "I need to initiate the volume expanders and warming blanket to stimulate a response."
B) let me contact the health care provider to answer your questions.
The nurse is caring for a client who is recently extubated in the post anesthesia care unit (PACU). The client has humidified oxygen per mask and suddenly develops stridor and respiratory difficulty. Which action should the nurse implement?
A) Call a rapid response team for emergency airway management.
B) Encourage the client to take deep breaths, cough, and expectorate.
C) Increase the flow rate of the humidified oxygen.
D) Suction the client's mouth and oropharynx thoroughly.
A) Call a rapid response team for emergency airway management
An older client is admitted to the intensive care unit after a small bowel resection. The postoperative prescriptions include a patient-controlled analgesia (PCA) device with morphine titrated per protocol. Which information should the nurse provide the client about the use of the PCA?
A) Push button when pain is first experienced instead of waiting until pain is unbearable.
B) Family members or visitors can press the button when the client grimaces in pain.
C) Press the button every 15 minutes even when pain is not present.
D) Delay pressing the button until the pain level is 8 on a scale of 1 to 10.
A) Push button when pain is first experienced instead of waiting until pain is unbareable
The nurse is analyzing an arterial blood gas (ABG) of a client who is mechanically ventilated. The ABG results are pH- 7.52; paCO2- 30 mmHg; HCO3- 28 mEq/liter. How should the nurse interpret this blood gas?
A) Respiratory acidosis.
B) Respiratory alkalosis.
C) Metabolic acidosis.
D) Metabolic alkalosis.
B) Respiratory [Show Less]