Beta Blockers - correct answer Initial measures for the treatment of angina pectoris do not include which response below?
ST segment elevation -
... [Show More] correct answer The classical ECG change with muscle injury in acute myocardial infarction is:
CHF - correct answer Elevated cardiac iso-enzymes generally do not occur in which response below?
Increased CO - correct answer The major therapeutic goal in the treatment of cariogenic shock is to:
Reduces preload and after load and improves contractility - correct answer 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 - correct answer In dealing with a depressed pt during the first days post AMI the most appropriate nursing action would be:
change in mental status - correct answer 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) - correct answer The following monitor pattern would indicate that the pulmonary artery (swan ganz) catheter is in which position?
Aortic stenosis - correct answer A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called:
High to low - correct answer Which of the following wave patterns indicates proper functioning of an arterial line?
8-10 minutes - correct answer After an arterial catheter is removed, direct pressure should be applied to the artery for how long?
Right atrium - correct answer A CVP reading directly reflects pressure in the:
Rt heart failure - correct answer An elevated CVP reading may indicate:
Lt ventricle - correct answer The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the:
11-20 - correct answer The normal pulmonary artery pressure is:
6-12 - correct answer How many mmHg is the normal PAOP?
Lt ventricular failure - correct answer An elevated PAOP may indicate:
Diltiazem - correct answer 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 - correct answer A QRS complex wider that .12 sec most likely indicates:
Infiltration leads to tissue necrosis - correct answer Special care should be exercised when administering IV Dopamine because
T wave - correct answer A strong ventricular stimulus is potentially dangerous when it lands on the:
symptomatic complete heart block - correct answer indication for use of external cardiac pacemaker includes
Amiodorone 150mg IV over 10 min - correct answer Initial drug tx for sustained V tach when a pulse is present
Hazardous, as the ventricular rate may suddenly increase - correct answer The cardiac rhythm of A flutter is:
Establish Unresponsiveness - correct answer Upon recognizing V fib in an ICU, the next thing the nurse should do is:
Preparing for transcutaneous pacing - correct answer The tx in an emergency situation for complete heart block is:
Amiodarone, Cardizem, Cardioversion - correct answer Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm includes:
Bradycardia - correct answer Signs of cardiac tamponade do not include which response below?
150 - correct answer In the pt with V fib, the correct energy setting for the first defibrillation when using a biphasic defibrillator is how many joules?
Epinephrine - correct answer A pt becomes apnea and pulseless. The monitor shows systole. The drug that would most likely be used initially is:
Protamine sulfate - correct answer Antidote for Heparin
Thorough handwashing - correct answer Most important step in preventing central venous catheter related sepsis is:
150 - correct answer An excessive amount of chest tube drainage in the first few hrs following thoracic surgery is how many mL's/hr?
Normal values - correct answer 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 - correct answer Before suctioning a pt, you adjust the vacuum pressure so that it is:
Atelectasis - correct answer 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 - correct answer Your pt is on a ventilator. The low volume alarm sounds. This may be due to:
Listen for bilateral breath sounds - correct answer To assess for proper positioning of an endotracheal tube, the most appropriate nursing action would be to:
Check the functioning of the cuff - correct answer 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 - correct answer The high pressure alarm on a volume respirator will not be triggered by which response below?
Development of a pneumothorax - correct answer The most important reason for diminishing breath sounds in a MVC victim with closed chest trauma is:
Fluid replacement - correct answer 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 - correct answer 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 - correct answer To help prevent VAP, the most important nursing action would be to:
Immobilizing the head - correct answer The most important nursing activity for a pt admitted with the diagnosis of cervical spinal cord injury is:
Respirations - correct answer In a pt with cervical spine injury, the most important observations the nurse makes concerns which of the following physiological parameters?
LOC - correct answer The earliest sign of increased ICP generally involves changes in:
Widened pulse pressure - correct answer Deepening ICP is characterized by:
Mannitol - correct answer Drug of choice used to reduce increased ICP is:
Indicates an abnormal finding - correct answer A positive Babinski response in an adult:
Initiating t-PA, if within first 8 hrs post stroke - correct answer Nursing care of a pt during the acute phase of a stroke does not include which response blow?
Evaluating the LOC - correct answer Most important part of neuro check is?
Fruity breath, deep and rapid breathing - correct answer S/S of DKA
Weakness, HA, diaphoresis - correct answer Hypoglycemia should be suspected when the diabetic pt c/o or manifests:
Dextrose 50% IV infusion - correct answer Measures that would be taken to tx a pt in DKA coma would not include which response below?
Higher dose of insulin - correct answer Pt's with DM who are acutely ill generally require a:
Urine output - correct answer Psychophysiologic stress response for acute illness and being in an icu can result in decrease
Regular - correct answer Which insulin when given sub-q will have a peak action within 2-4 hrs?
8-14 - correct answer 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 - correct answer A dangerous effect of rapidly re-warming a hypothermic pt is:
DI - correct answer 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 - correct answer Mrs Reece, a 64 yo woman with acute renal failure and oliguria, was admitted with CHF. Which of the following tests is abnormal?
30 - correct answer 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 - correct answer Practices to decrease CAUTI does not include:
Decrease dosage - correct answer Your pt has acute renal failure. Meds that are normally excreted through the kidneys will probably be:
Restricted protein, low k+, low Na+ - correct answer Enteral feeding in acute renal failure commonly includes:
Fluid overload - correct answer 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 - correct answer ECG changes commonly seen in hyperkalemia are:
Keep the HOB elevated - correct answer When feeding a pt using continuous tube feedings, the most important intervention in preventing aspiration is to:
To control bleeding - correct answer Low intermittent suction of gastric contents is not generally used in which response below:
Obtaining radiographic confirmation - correct answer Safe placement of NG tube in unconscious pt can be best assessed by:
Have the drainage tested for blood - correct answer 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 - correct answer Your pt, who is receiving a blood transfusion, has a sudden increase in body temp. Your first response is to:
Atropine - correct answer In a symptomatic sinus brady, which of the following could be used to increase the heart rate:
Dilantin - correct answer Which of the following drugs will crystallize when given IV with D5S? [Show Less]