Beta Blockers
Initial measures for the treatment of angina pectoris do not include which response below?
ST segment elevation
The classical ECG
... [Show More] change with muscle injury in acute myocardial infarction is:
CHF
Elevated cardiac iso-enzymes generally do not occur in which response below?
Increased CO
The major therapeutic goal in the treatment of cariogenic shock is to:
Reduces preload and after load and improves contractility
You receive orders to start nitroprusside and dobutamine in your patient with end-stage cardiomyopathy. How will this tx regimen affect CO?
Encourage the patient to ventilate his/her concerns
In dealing with a depressed pt during the first days post AMI the most appropriate nursing action would be:
change in mental status
Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI. Which of the following would most likely require discontinuing the infusion?
Pulmonary artery occlusion (wedge)
The following monitor pattern would indicate that the pulmonary artery (swan ganz) catheter is in which position?
Aortic stenosis
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called:
High to low
Which of the following wave patterns indicates proper functioning of an arterial line?
8-10 minutes
After an arterial catheter is removed, direct pressure should be applied to the artery for how long?
Right atrium
A CVP reading directly reflects pressure in the:
Rt heart failure
An elevated CVP reading may indicate:
Lt ventricle
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the:
11-20
The normal pulmonary artery pressure is:
6-12
How many mmHg is the normal PAOP?
Lt ventricular failure
An elevated PAOP may indicate:
Diltiazem
Mr Adams, a 68 yo pt, c/o feeling "a little funny in his chest". His ECG shows Afib/flutter. Which of the following meds could be used to tx his cardiac rhythm?
BBB
A QRS complex wider that .12 sec most likely indicates:
Infiltration leads to tissue necrosis
Special care should be exercised when administering IV Dopamine because
T wave
A strong ventricular stimulus is potentially dangerous when it lands on the:
symptomatic complete heart block
indication for use of external cardiac pacemaker includes
Amiodorone 150mg IV over 10 min
Initial drug tx for sustained V tach when a pulse is present
Hazardous, as the ventricular rate may suddenly increase
The cardiac rhythm of A flutter is:
Establish Unresponsiveness
Upon recognizing V fib in an ICU, the next thing the nurse should do is:
Preparing for transcutaneous pacing
The tx in an emergency situation for complete heart block is:
Amiodarone, Cardizem, Cardioversion
Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm includes:
Bradycardia
Signs of cardiac tamponade do not include which response below?
150
In the pt with V fib, the correct energy setting for the first defibrillation when using a biphasic defibrillator is how many joules?
Epinephrine
A pt becomes apnea and pulseless. The monitor shows systole. The drug that would most likely be used initially is:
Protamine sulfate
Antidote for Heparin
Thorough handwashing
Most important step in preventing central venous catheter related sepsis is:
150
An excessive amount of chest tube drainage in the first few hrs following thoracic surgery is how many mL's/hr?
Normal values
A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mmHg, pCO2 of 38 mmHg, and HCO3 25 mEq. These results reflect:
120 mmHg of pressure
Before suctioning a pt, you adjust the vacuum pressure so that it is:
Atelectasis
Post op pt has a left anterior chest tube. When you auscultate the lung fields bilaterally, you hear diminished breath sounds in the right posterior bases. This would most likely be due to:
Disconnected tubing
Your pt is on a ventilator. The low volume alarm sounds. This may be due to:
Listen for bilateral breath sounds
To assess for proper positioning of an endotracheal tube, the most appropriate nursing action would be to:
Check the functioning of the cuff
Mr Ray has an endotracheal tube. While you are making rounds, you ask his breathing is okay. In an audible tone, he says 'yes'. You should first:
Leaking cuff
The high pressure alarm on a volume respirator will not be triggered by which response below?
Development of a pneumothorax
The most important reason for diminishing breath sounds in a MVC victim with closed chest trauma is:
Fluid replacement
A moderately burned trauma pt is admitted to your unit. The most important tx related to the burns during the first 24 hrs after injury is:
Fat embolus
Your trauma pt, who is 4 days post fracture of the right femur, suddenly develops SOB. The most likely cause is:
Careful hand washing and use of gloves when suctioning
To help prevent VAP, the most important nursing action would be to:
Immobilizing the head
The most important nursing activity for a pt admitted with the diagnosis of cervical spinal cord injury is:
Respirations
In a pt with cervical spine injury, the most important observations the nurse makes concerns which of the following physiological parameters?
LOC
The earliest sign of increased ICP generally involves changes in:
Widened pulse pressure
Deepening ICP is characterized by:
Mannitol
Drug of choice used to reduce increased ICP is:
Indicates an abnormal finding
A positive Babinski response in an adult:
Initiating t-PA, if within first 8 hrs post stroke
Nursing care of a pt during the acute phase of a stroke does not include which response blow?
Evaluating the LOC
Most important part of neuro check is?
Fruity breath, deep and rapid breathing
S/S of DKA
Weakness, HA, diaphoresis
Hypoglycemia should be suspected when the diabetic pt c/o or manifests:
Dextrose 50% IV infusion
Measures that would be taken to tx a pt in DKA coma would not include which response below?
Higher dose of insulin
Pt's with DM who are acutely ill generally require a:
Urine output
Psychophysiologic stress response for acute illness and being in an icu can result in decrease
Regular
Which insulin when given sub-q will have a peak action within 2-4 hrs?
8-14
An unconscious trauma pt who was just admitted to the ICU is a diabetic who received his usual dose of sub-q NPH insulin at 7 am. In how many hrs after administration might you expect an insulin reaction to occur?
Vasodilation and hypotension
A dangerous effect of rapidly re-warming a hypothermic pt is:
DI
Mrs Smith, who is a post-op craniotomy pt has a fasting blood sugar of 100 mg, c/o extreme thirst, and has a urine output > 1,000 mL's over 2 hrs. You should suspect:
K+ of 5.8
Mrs Reece, a 64 yo woman with acute renal failure and oliguria, was admitted with CHF. Which of the following tests is abnormal?
30
Pt admitted with a probable diagnosis of acute renal failure. The normal mL's of urine output for this 150 lb person per hr is:
Discontinuing enteral tube feeding if diarrhea occurs
Practices to decrease CAUTI does not include:
Decrease dosage
Your pt has acute renal failure. Meds that are normally excreted through the kidneys will probably be:
Restricted protein, low k+, low Na+
Enteral feeding in acute renal failure commonly includes:
Fluid overload
Sudden development of dyspnea and sinus tachycardia in an acute renal failure pt would most likely indicate which of the following?
Wide QRS, tall peaked T wave
ECG changes commonly seen in hyperkalemia are:
Keep the HOB elevated
When feeding a pt using continuous tube feedings, the most important intervention in preventing aspiration is to:
To control bleeding
Low intermittent suction of gastric contents is not generally used in which response below:
Obtaining radiographic confirmation
Safe placement of NG tube in unconscious pt can be best assessed by:
Have the drainage tested for blood
While caring for a day 2 post op exploratory laparotomy pt, you notice 'coffee ground' material coming from her NG tube. You should:
Stop the transfusion
Your pt, who is receiving a blood transfusion, has a sudden increase in body temp. Your first response is to:
Atropine
In a symptomatic sinus brady, which of the following could be used to increase the heart rate:
Dilantin
Which of the following drugs will crystallize when given IV with D5S?
Alertness to the development of an acute hypertensive episode
Precautions in using IV nitroprusside is not included in which response below?
Cortisone
Dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency?
Rapid AV conduction
Which of the following is not a manifestation of dig toxicity?
Decide on husbands care if he loses consciousness
Health care power of attorney has right to:
Telling the pt that everything is going to be alright
Examples of spiritual care for a seriously ill, conscious pt does not generally include which response below? [Show Less]