Respiratory
What is the rescue med for an asthma attack?
Albuterol
Treatment for symptomatic sinus bradycardia?
Atropine
What point of reference do you zero the transducer for an arterial line?
Phlebostatic axis (4th intercostal space mid axillary line)
Arrhythmias, massive MI, Valve failure, and cardiomyopathy are possible causes of this type of shock
Cardiogenic shock
What is the main cause of peptic ulcer disease?
Bacterial infection (H pylori)
A client admitted with status asthmaticus requires endotracheal intubation and mechanical ventilation. Which intervention decreases the client’s risk for ventilator-associated pneumonia?
a. Providing a sedation vacation every 8 hours
b.Administering daily oral care with hydrogen peroxide
c.Lowering the head of the patient’s bed 15 to 25 degrees
d.Applying subglottic suction using a specialized endotracheal tube
D. Applying subglottic suction using a specialized endotracheal tube
When a patient has long-term atrial fibrillation, the nurse would expect to include which drug in the plan of care to minimize the greatest risk that is commonly associated with atrial fibrillation?
a.) Beta blockers
b.) Digitalis
c.) Anticoagulants
d.) Antiarrhythmics
c. anticoagulants
Why morphine in MONA?
Pain relief and it dilates the coronary arteries
Oxygen, EPI, benadryl, famotidine, solumedrol
What medication is used to help treat hiatal hernia?
Metoclopramide (Reglan)
A patient has a tension pneumothorax and is exhibiting these s/sx: distended neck veins, decreased CO, and a tracheal midline shift. What is the priority treatment?
Needle decompression followed by a chest tube
A patient is to have synchronized cardioversion for treatment of atrial flutter. He has received Heparin 500 units subcutaneously. Which of the following interventions should now be performed?
a.) Assist the MD in intubating the patient to stabilize airway.
b.) Sedate the patient with Versed 2 mg IV push per protocol.
c.) Set the defibrillator in asynchronous mode and charge to 300 joules.
d.) Steadily increase the voltage until the beats are captured.
b.sedate the patient with versed 2 mg IV push per protocol
A flow-directed, balloon-tipped catheter that measures direct pressures in the right atrium and pulmonary artery, and estimates the function of the left ventricle
PA cath
What assessment finding is most indicative of increased ICP?
Decrease in LOC
A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse prioritize in this patients plan of care?
A) Measurement of abdominal girth and body weight
B) Assessment for variceal bleeding
C) Assessment for signs and symptoms of jaundice
D) Monitoring of results of liver function testing
b. assessment for variceal bleeding
A patient has the following blood gases: PaCO2 25, pH 7.50, HCO3 19. Which of the following could NOT be the cause of this condition?
a. anxiety attack
b. COPD
c. fever
d. aspirin toxicity
B. COPD
A 38-year-old female is brought to the Emergency Department with complaints of her "heart beating out of her chest". She is diaphoretic, tachypneic and her BP is 70/40. The cardiac monitor shows supraventricular tachycardia. Valsalva maneuvers and three doses of Adenosine have not been successful. The nurse should immediately:
a.) prepare the patient for synchronized cardioversion.
b.) give Epinephrine 1 mg IV and repeat in 3 minutes.
c.) give Adenosine 6 mg IV per protocol.
d.) perform unilateral carotid massage.
a. prepare the patient for synchronized cardioversion
What are some risk factors of AAA?
Being male, smoking, hypertension, family hx
After a head injury, the patient begins to have drainage from the nose. The nurse assesses the drainage by which method?
Halo Test
A nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg
b. Large contusion to the forehead and a bloody nose
c. Closed fracture of the right clavicle and arm numbness
d. Multiple fractured ribs and shortness of breath
Interpretation of the following ABG: pH = 7.29, PaCO₂ = 47 mmHg, and HCO₃ = 24 mEq/L
Uncompensated respiratory acidosis
You’re patient is in ventricular fibrillation (v-fib). You’ve started CPR and the airway is supported. A rhythm checked in performed and shows the patient is still in ventricular fibrillation. The NEXT action the code team will take in addition to performing high-quality CPR is to?
Defibrillate
A doctor has ordered cardiac enzymes on a patient being admitted with chest pain. You know that _____________ levels elevate 2-4 hours after injury to the heart and is the most regarded marker by providers.
Troponin
1. A patient with septic shock has a urine output of 20 mL/hr for the past 3 hours. The pulse
rate is 120 and the central venous pressure and pulmonary artery wedge pressure are low.
Which of these orders by the health care provider will the nurse question?
a. Give furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 150 mL/hr.
c. Administer hydrocortisone (SoluCortef) 100 mg IV.
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr.
a. Give furosemide 40 mg IV
The nurse is the first responder after a tornado has destroyed many homes in the community. Which victim should the nurse attend to first?
1. A pregnant woman who exclaims, "My baby is not moving."
2. A child who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall off!"
3. A young child standing next to an adult family member who is screaming, "I want my mommy!"
4. An older victim who is sitting next to her husband sobbing, "My husband is dead. My husband is dead."
2. a child who is complaining "my leg is bleeding so bad, I am afraid it is going to fall off!"