Download Cardiology and Pharmacology Review: ECG, Medications, and Nursing Interventions and more Exams Nursing in PDF only on Docsity!
BKAT MED-SURG
Initial measures for the treatment of angina pectoris do not include which response below? - correct answer Morphine & Beta Blockers The classical ECG change with muscle injury in acute myocardial infarction is: - correct answer ST segment elevation Elevated cardiac iso-enzymes generally do not occur in which response below? - correct answer Congestive Heart Failure The major therapeutic goal in the treatment of cardiogenic shock is to: - correct answer Increase cardiac output You receive orders to start nitroprusside and dobutamine in your patient with end-stage cardiomyopathy. How will this treatment regimen affect Cardiac Output? - correct answer Reduced preload and afterload and improves contractility Precautions in using IV nitroprusside is not included in which response below? - correct answer Alertness to the development of an acute hypertensive episode When packing Nitroprusside, it should be: - correct answer Protected from light In dealing with a depressed pt. during the 1st few days post AMI the most appropriate nursing action would be: - correct answer Encourage the patient to ventilate his/her concerns Mr. Seamore is receiving thrombolytics (TPA) 3 hrs. after an AMI, Which of the following would most likely require discontinuing the infusion? - correct answer Change in mental status
The following monitor pattern would indicate that the pulmonary artery (Swan Ganz) catheter is in which position? - correct answer Pulmonary artery occlusion (wedge) A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called: - correct answer Aortic Stenosis Which of the following wave patterns indicates proper functioning of an arterial line? - correct answer High to low The use of an arterial line may be indicated for all the following except? - correct answer For the administration of routine drugs After an arterial catheter is removed, direct pressure should be applies to the artery for how long? - correct answer 5-10 minutes A CVP reading directly reflects pressure in the: - correct answer Right Atrium An elevated CVP reading may indicate: - correct answer Right heart failure The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the:
- correct answer Left Vetricle The normal pulmonary artery pressure is: - correct answer 11- How many mmHg is the normal PAOP? - correct answer - An elevated PAOP may indicate: - correct answer Left ventricular failure
Signs of cardiac tamponade do not include which response below? - correct answer Bradycardia In the pt. with V-Fib, the correct energy setting for the first defibrillation when using a biphasic defibrillatior is how many joules? - correct answer 150 In the pt. with V-Fib, the correct energy settings for the first defibrillation when using a monophasic defibrillator is how many joules? - correct answer 350 A pt. becomes apneic and pulseless. The monitor shows systole. The drug that would most likely be used initially is: - correct answer Epinephrine Antidote for Heparin - correct answer Protamine Sulfate Antidote for Warfarin - correct answer Vitamin K Most important step in preventing central venous catheter related sepsis is: - correct answer Thorough handwashing An excessive amount of chest tube drainage in the first few hours following thoracic surgery in how many mL's/hr? - correct answer 150 A routine check of your patient's blood gas values shows a pH of 7.40, pO2 of 98 mmHg, pCO2 of 38 mmHg, and HCO2 of 25 mEq. These results reflect: - correct answer Normal Values Before suctioning a pt., you adjust the vacuum pressure so that it is: - correct answer 120 mmHg of pressure 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: - correct answer Atelectasis
Your pt. is on a ventilator. The low volume alarm sounds. This may be due to: - correct answer Disconnected tubing To assess for proper positioning of an endotracheal tube, the most appropriate nursing action would be to" - correct answer Listen for bilateral breath sounds Mr. Ray has an endotracheal tube. While you are making rounds, you ask his breathing is okay. In an audible ton, he sys "yes". You should first: - correct answer Check the functioning of the cuff The high-pressure alarm on a volume respirator will not be triggered by which response below? - correct answer Leaking cuff The most important reason for diminishing breath sounds in an MVC victim with closed chest trauma is: - correct answer Development of a pneumothorax A moderately burned trauma pt. is admitted to your unit. The most important treatment related to the burns during the first 24 hours after injury is: - correct answer Fluid Replacement Your trauma pt., who is 4 days post fracture of the right femur, suddenly develops SOB. The most likely cause is: - correct answer Fat Embolus To help prevent VAP, the most important to nursing action would be: - correct answer Careful hand washing and use of gloves when suctioning The most important nursing activity for a pt. admitted with the diagnosis of cervical spinal cord injury is: - correct answer Immobilizing the head In a pt. with cervical spine injury, the most important observations the nurse makes concerns which of the following physiological parameters? - correct answer Respirations
Psychophysiological stress response fo acute illness generally results in: - correct answer Decreased urine output Which insulin when given Sub-Q will have a peak action within 2-4 hours? - correct answer Regular 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 hours after administration might you expect an insulin reaction to occur? - correct answer 8- 14 A dangerous effect of rapidly re-warming a hypothermic pt. is: - correct answer Vasodilation and hypotension 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 hours. You should suspect: - correct answer Diabetes Insipidus (DI) Mrs. Reece, a 64- year-old woman with acute renal failure and oliguria, was admitted with CHF. Which of the following tests is abnormal? - correct answer K+ of 5. A pt. is admitted with a probably diagnosis of acute renal failure. The normal mL's of urine output for this 150 lb person per hr is: - correct answer 30 Practices to decrease CAUTI does not include: - correct answer Discontinuing enteral tube feeding if diarrhea occurs Your pt. has acute renal failure. Meds that are normally excreted through the kidneys will probably have: - correct answer Decreased dosages
Enteral feeding in acute renal failure commonly includes: - correct answer Restricted protein, low K+, low Na+ Sudden development of dyspnea and sinus tachycardia in an acute renal failure pt. would most likely indicate which of the following? - correct answer Fluid overload ECG changes commonly seen in hyperkalemia are: - correct answer Wide QRS, tall peaked T wave When feeding a pt. using continuous tube feedings, the most important intervention in preventing aspiration is to: - correct answer Keep the HOB elevated Low intermittent suction of gastric contents is not generally used in which response below: - correct answer To control bleeding Safe placement of NG tube in unconscious pt. can be assessed by: - correct answer Obtaining radiographic confirmation (X-Ray) While caring for a day 2 post op exploratory laparotomy pt., you notice coffee ground material coming from her NG tube. You should: - correct answer Have the drainage tested for blood Your pt., who is receiving a blood transfusion, has a sudden increase in body temp. Your first response is to: - correct answer Stop the transfusion In a symptomatic sinus brady, which of the following could be use to increase the heart rate: - correct answer Atropine Which of the following drugs will crystallize when given IV and D5%? - correct answer Dilantin
