An adult male client was admitted to the trauma service after an MVC. During his stay, the
patient suffers an acute MI. He is attached to a cardiac monitor and has an IV catheter in
place. His cardiac rhythm has been NSR with occasional PVCs. The nurse notes a sudden
change on the cardiac monitor screen to a very irregular, chaotic-looking pattern. The client
appears to be sleeping. The primary action on the part of the nurse is to:
ANSWER
Check the client's ECG electrodes.
Your patient has a serum sodium of 162 and a serum osmolality of 330. What pathological
condition do you suspect?
ANSWER
SIADH
A client had a right-sided craniotomy due to an SDH. What neurological findings are
consistent with this injury?
ANSWER
Left sided weakness with right visual disturbance.
The #1 cause of traumatic death in the elderly is:
ANSWER
falls
, Which of the following IV push medications requires cardiac monitoring?
ANSWER
cardizem (diltiazem)
For the following ABG values, please interpret the acid-base abnormality:
pH = 7.56
PaCO2 = 24 mmHg
HCO3 = 23 mEq/L
ANSWER
Respiratory alkalosis
Which of the following assessment findings are indicative of spinal or neurogenic shock?
ANSWER
hypotension and bradycardia
Whenever there is an increase in carbon dioxide levels, the pH will:
ANSWER
decrease
What is the normal value of PAWP?
ANSWER
4-12 mmHg
patient suffers an acute MI. He is attached to a cardiac monitor and has an IV catheter in
place. His cardiac rhythm has been NSR with occasional PVCs. The nurse notes a sudden
change on the cardiac monitor screen to a very irregular, chaotic-looking pattern. The client
appears to be sleeping. The primary action on the part of the nurse is to:
ANSWER
Check the client's ECG electrodes.
Your patient has a serum sodium of 162 and a serum osmolality of 330. What pathological
condition do you suspect?
ANSWER
SIADH
A client had a right-sided craniotomy due to an SDH. What neurological findings are
consistent with this injury?
ANSWER
Left sided weakness with right visual disturbance.
The #1 cause of traumatic death in the elderly is:
ANSWER
falls
, Which of the following IV push medications requires cardiac monitoring?
ANSWER
cardizem (diltiazem)
For the following ABG values, please interpret the acid-base abnormality:
pH = 7.56
PaCO2 = 24 mmHg
HCO3 = 23 mEq/L
ANSWER
Respiratory alkalosis
Which of the following assessment findings are indicative of spinal or neurogenic shock?
ANSWER
hypotension and bradycardia
Whenever there is an increase in carbon dioxide levels, the pH will:
ANSWER
decrease
What is the normal value of PAWP?
ANSWER
4-12 mmHg
