Exam 1
Name the rhythm described:
irregular p waves, often rapid, this is one of the most common rhythms.
what is atrial fibrillation
Which type of hemodynamic monitoring device measures an accurate, invasive blood pressure?
Why would a patient be on a continuous propofol and morphine IV drip in the ICU?
You are caring for a patient with diabetes and upon checking their capillary blood glucose you get a meter reading of "HIGH". What is your next best action?
Re-check the CBG.
What is half a tablet
What is tetanus
What type of hemodynamic device measures pulmonary artery pressures?
What is a swan ganz catheter (or pulmonary artery catheter)
A patient asks you "How is HIV passed from person to person?" What is your best response?
What is through direct contact with blood and bodily fluids
You are caring for a patient in diabetic ketoacidosis. Describe their most likely ABG results?
What is low pH (acid), normal or low paC02, low paHC03 (acid).
You are ordered to administer 750 mg of Levaquin IV PB over 2 hours. The Levaquin arrives prefilled IV bag from pharmacy as 750 mg in 500 mL. At what hourly rate will you run the infusion?
What is 250mL / hr
What is flail chest
A patient arrives to the intensive care unit with a central venous pressure or 15. What may this indicate?
A patient getting ready to be admitted into the ICU has the following lab results: pH 7.15, lactic acid 7, WBC 22,000. What is a likely condition?
What is septic shock
You are ordered to administer a unit of PRBC's, which comes prepared as 300 mL. if you run it at a rate of 120 mL/hr , how long will it take to infuse, and is it within the desired time frame?
What is 2.5 hours and yes its less than 4 hours
What is Airway breathing circulation with cervical spine immobilization, Disability, Exposure, and Full Set of Vital Signs
A patient arrives to the intensive care unit with the following ABG> pH 7.22, CO2 50, HC03 24, Pa02 55. What is the problem?
A patient is intubated via endotracheal tube and attached to a mechanical ventilator. What ventilator mode setting allows for the most rest of the patient?
What is assist-control mode
Describe at least three signs and symptoms of hypoglycemia and the intervention.
What is pale, diaphoretic, confused, feeling of "low", sweaty, lightheaded, passing out. Intervention: if awake, 15 g of carbs (OJ with cracker/PB), or 15 g glucose gel in the cheek, or an amp of d50
You are caring for a patient with cancer who has been informed by the healthcare team of the poor prognosis. You walk into the room and the patient asks you the nurse "What do you think?". What is your best response?
What is when a patient is in cardiac or resp arrest, rrt/rat when there is an immediate change or deterioration in condition.
A patient is to undergo a triple coronary artery bypass graft via open heart surgery. List the following: when does the majority of education take place, and two important teaching points.
When is prior to the surgery, and what is: importance of a support system, splinting when coughing to help facilitate breathing/painful breathing, incentive spirometer, to expect pain, how to care for incision / prevent infection, lifting restrictions.
A patient is admitted to the cardiac cath lab following an acute mi and is on the following IV medications: morphine, versed, and heparin. Which reversal agents should the cardiac nurse have on hand?
What are narcan, romazicon, and protamine sulfate
A patient arrives s/p motor vehicle crash where he hit his head. Upon arrival, the patient was aox4 and responding to all commands appropriately. An hour later, he is only opening his eyes to painful stimuli, localizing the pain, and only making incomprehensible sounds. What is the arrival GCS and the current GCS?
GCS of 15 then a GCS of 9
You are caring for a young adult male who suffered burns to his bilateral lower legs. He weighs 150kg. Calculate the TBSA using the rule of 9s, then using the Parkland formula calculate the total amount of fluids he should receive in the first 24 hours from the time of injury.
What is 36%. What is 4x36x150. 21600.