Nur 504 Exam 1 | Updated Actual | Complete Questions And Correct Verified Answers

NUR 504 EXAM 1 | UPDATED ACTUAL | COMPLETE
QUESTIONS AND CORRECT VERIFIED ANSWERS

• Epinephrine — Desired Effect -✓✓ANSWER: Increased cardiac output, return of
spontaneous circulation (ROSC), bronchial dilation, increased blood pressure.


• Epinephrine — Side Effects & Nursing Considerations -✓✓ANSWER: SE: Chest
pain, dysrhythmias, tachycardia, pulmonary edema. Considerations: Continuous
cardiac monitoring; treat extravasation immediately.


• Adenosine — Desired Effect -✓✓ANSWER: Conversion of SVT (supraventricular
tachycardia) to normal sinus rhythm.


• Adenosine — Side Effects & Nursing Considerations -✓✓ANSWER: SE: Flushing,
dysrhythmias, brief asystole, chest tightness. Considerations: Rapid IV push (1-2s)
+ NS flush; keep resuscitation equipment nearby.


• Amiodarone — Desired Effect -✓✓ANSWER: Conversion to normal sinus
rhythm; ventricular rate control in atrial fibrillation.


• Amiodarone — Side Effects & Nursing Considerations -✓✓ANSWER: SE:
Hypotension, QT prolongation, pulmonary fibrosis/toxicity. Considerations:
Continuous EKG monitoring; assess cough/dyspnea; monitor thyroid levels.


• Lidocaine (Infusions) — Desired Effect -✓✓ANSWER: Suppression of ventricular
ectopy and return of ROSC.

,• Lidocaine (Infusions) — Side Effects & Nursing Considerations -✓✓ANSWER: SE:
Hypotension, dysrhythmias, bronchospasm, CNS toxicity. Considerations:
Continuous cardiac telemetry; keep patient supine.


• Atropine (IV) — Desired Effect -✓✓ANSWER: Increased heart rate (>60 bpm)
and increased cardiac output.


• Atropine (IV) — Side Effects & Nursing Considerations -✓✓ANSWER: SE: Dry
mouth, dysrhythmias, chest pain, CNS depression. Considerations: Monitor HR/BP
continuously; max cumulative dose is 3 mg IV.


• Diltiazem — Desired Effect -✓✓ANSWER: Atrial fibrillation rate control (<100
bpm) and decreased chest pain.


• Diltiazem — Side Effects & Nursing Considerations -✓✓ANSWER: SE: Peripheral
edema, dysrhythmias, palpitations. Considerations: Hold if SBP < 90 or HR < 60;
limit grapefruit juice.


• Verapamil — Desired Effect -✓✓ANSWER: Atrial fibrillation rate control,
conversion to NSR, and prophylaxis for SVT/hypertension.


• Verapamil — Side Effects & Nursing Considerations -✓✓ANSWER: SE: Heart
failure, bradyarrhythmias, hepatotoxicity. Considerations: Monitor BP, HR, and
continuous EKG; avoid grapefruit juice.


• Nicardipine — Desired Effect -✓✓ANSWER: Decreased chest pain and reduction
in blood pressure to normal limits.

,• Nicardipine — Side Effects & Nursing Considerations -✓✓ANSWER: SE: Flushing,
peripheral edema, hypotension, nausea. Considerations: Change peripheral IV
sites every 12 hrs to prevent phlebitis; avoid grapefruit juice.


• Calcium Gluconate — Desired Effect -✓✓ANSWER: Restoration of serum
calcium levels and stabilization of cardiac cell membranes.


• Calcium Gluconate — Side Effects & Nursing Considerations -✓✓ANSWER: SE:
Arrhythmias, bradycardia, cardiac arrest, syncope, chalky taste. Considerations:
Continuous ECG monitoring; avoid extravasation; monitor serum calcium every 1-
4h.


• Dopamine Hydrochloride — Desired Effect -✓✓ANSWER: Enhanced end-organ
perfusion and MAP > 60 mm Hg.


• Dopamine Hydrochloride — Side Effects & Nursing Considerations -
✓✓ANSWER: SE: Chest pain, dysrhythmias, dyspnea, headache. Considerations:
Requires infusion pump; monitor I&O, glucose; watch closely for extravasation.


• Dobutamine — Desired Effect -✓✓ANSWER: Increased heart rate, stroke
volume, cardiac output, and blood pressure.


• Dobutamine — Side Effects & Nursing Considerations -✓✓ANSWER: SE:
Increased HR/BP, chest pain, PVCs, dyspnea. Considerations: Continuous
telemetry; assist with ambulation due to fall risk.

, • Milrinone — Desired Effect -✓✓ANSWER: Increased cardiac output and reduced
preload and afterload.


• Milrinone — Side Effects & Nursing Considerations -✓✓ANSWER: SE:
Tachycardia, ventricular dysrhythmias, dizziness, syncope. Considerations:
Requires continuous cardiac/hemodynamic monitoring and strict I&O.


• Nitroglycerin IV — Desired Effect -✓✓ANSWER: Relief of chest pain, normal
blood pressure, and coronary vasodilation.


• Nitroglycerin IV — Side Effects & Nursing Considerations -✓✓ANSWER: SE:
Throbbing headache, severe hypotension, syncope. Considerations: Hold if SBP <
90 or HR < 60; keep patient in bed due to orthostatic risk.


• Heparin Drip — Desired Effect -✓✓ANSWER: Therapeutic anticoagulation
(prevention of clot growth and thromboembolism).


• Heparin Drip — Side Effects & Nursing Considerations -✓✓ANSWER: SE:
Hemorrhage, thrombocytopenia (HIT), hyperkalemia. Considerations: Monitor
aPTT, platelets, Hgb/Hct; check for pork allergy; bleeding precautions.


• Sodium Nitroprusside (Nipride) — Desired Effect -✓✓ANSWER: Reduction of
blood pressure to normal limits and reduced left ventricular afterload.


• Sodium Nitroprusside (Nipride) — Side Effects & Nursing Considerations -
✓✓ANSWER: SE: Severe hypotension, cyanide toxicity, methemoglobinemia,
elevated ICP. Considerations: Direct BP monitoring via arterial line required;
assess for cyanosis and acidosis.