Cardiovascular
A ventilated patient's CVP is reading 2mmHg. The nurse knows that the patient has THIS hemodynamic status
Hypovolemia
How is pain associated with a dissecting aortic aneurysm described?
What is the goal SpO2 in a patient with COPD exacerbation?
88-92%
What is the INITIAL management of sepsis?
1. Fluid bolus of 0.5ml/kg
2. Blood cultures
3. Antibiotics
Hypokalemia can be caused by:
A) Crush injuries
B) Blood transfusions
C) Alkalosis
D) Acidosis
What is the normal range for pulmonary artery occlusion pressures?
8-12mmHg
Cor Pulmonale is characterized by
Right sided heart failure due to pulmonary hypertension/disease
What does a high PEEP increase the risk of?
Barotrauma
What lab is the best indicator for tissue perfusion?
Lactic acid levels
Which electrolyte abnormality is common is patients with chronic alcoholism?
A) Hypomagnesemia
B) Hypophosphatemia
C) Hypernatremia
D) Hyperkalemia
A patient's SVR is 1450, CI of 1.8, a PAOP of 20. and has cool skin. What shock state is the patient in?
Cardiogenic
A patient is admitted after an MVC. The steering wheel was bent at the scene. Upon arrival to the ICU, you notice frequent PVCs and nonsustained VTach. The nurse should suspect the patient has a contusion of THIS
Myocardium
Name 3 ways status asthmaticus is managed
1. Bronchodilators
2. Steroids
3. Positive pressure ventilation (Bipap of Intubation)
A primary concern when caring for a patient diagnosed with pancreatitis is to closely monitor fluid and electrolytes because
A) Hypercalcemia is common
B) Plasma volume is lost because pancreatic enzymes increase capillary permeability
C) Hypoglycemia occurs secondary to glucagon release
D) Dehydration is common due to the diuretic effect of pancreatic enzymes in the blood
B) Plasma volume is lost because pancreatic enzymes increase capillary permeability
1. left shoulder pain
2. Ruptured spleen
Beta 1 adrenergic receptors
Which finding is most consistent with an acute elevation in left ventricular filling pressures?
A) Sinus bradycardia
B) Diastolic murmurC) Peripheral Edema
D) Bibasilar crackles
D) Bibasilar crackles
What two conditions cause a LEFT shift in the oxyhemoglobin dissociation curve?
Hypothermia
Alkalosis
What is the most likely complication of Guillain-Barre syndrome?
Acute respiratory failure
In a patient with acute tubular necrosis, which sequalae should be expected?
A) Hypercalcemia, hypertension, acidosis
B) Hypokalemia, anemia, hypertension
C) Hyperkalemia, acidosis, azotemia
D) Hypocalcemia, anemia, alkalosis
C) Hyperkalemia, acidosis, azotemia
Which of the following medications would reduce afterload in a patient with cardiogenic shock?
A) Phenylephrine
B) Dobutamine
C) Nitroprusside
D) Furosemide
C) Nitroprusside
Mediastinal chest tubes are used to
A) Promote lung re-expansion
B) Remove fluid from the operative site
C) Remove air, blood, or serous fluid from the pleural space
D) Improve air exchange at the alveolar level
B) Remove fluid from the operative site
A patient is diagnosed with ARDS. The nurse knows that the ABG slip will show the hallmark sign of ARDS, which is:
Refractory hypoxemia
A patient becomes restless, tachypneic and tachycardiac with new infiltrates on the chest X Ray. The patient is intubated and sedated with Propofol. The nurse should
A) Maintain HOB between 20-25 degrees
B) Attempt trial holding sedation daily
C) Position patient in the lateral recumbent position
D) Use IV fluids conservatively
A patient is admitted with hepatic failure and severe dehydration. The patient is encephalopathic. Which treatment should the nurse anticipate?
A) Potassium replacement
B) Volume repletion with lactated ringer's
C) Broad spectrum antibiotics
D) Benzodiazepines