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Exam (elaborations)

NURS 480 Final Exam Questions and Answers |ALREADY GRADED A+ Latest Updated)

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NURS 480 Final Exam Questions and Answers |ALREADY GRADED A+ Latest Updated)

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NURS 480 Final Exam Questions and
Answers |ALREADY GRADED A+ Latest
Updated)

Exam Questions GRADED AND VERIDFIED ANSWERS

What is useful in determining the dx and  biomarkers

prognosis of ACS? cardiac-specific troponin is preferred

marker to obtain in ALL patients who

present with chest discomfort

consistent with ACS

should be obtained 3-6 hours after

symptom onset

Cause of v tach  MI

Significance of v tach and S/S  precursor to VF

S/S: ischemic chest pain, hypotension,

pulmonary edema, and

unconsciousness

Rare in adults with normal heats

V tach management  If hemodynamically stable, IV lidocaine

, If unstable, synchronized cardio

version

Emergency situation, unsynchronized

defibrillation

Long term tx: ICD implant

What is ultimate purpose of examining  -to evaluate the evidence or research

research by levels of evidence? and determine the applicability

-to improve quality of care and to

protect pt safety during illness

-critical care RNs must be able to

systematically gather, review,

synthesize, and evaluate evidence to

guide practice changes and promote

clinical outcomes

highest level of evidence  systematic review of randomized

controlled trials

lowest level of evidence  expert opinion

limitations of research and barriers to  -lack of knowledge of research process

implementation -limited access to lit

-lack of skill to critique

-limited interest in sci inquiry

-limited power to change practice

, -time factors

-lack of organized support and

commitment

-volume of research being published

-availability of mentors

Synergy model  A model of care delivery adopted by

the American Association of Critical-

Care Nurses that matches the needs

and characteristics of the patient with

the competencies of the nurse. Seven

characteristics are unique to every

patient, and each nurse has varying

levels of ability, which are categorized

into eight competencies. When the

knowledge, skills, and competencies of

the nurse are used to meet the

complex needs of the patient and

family, the care is optimal.

Pt characteristics that nurses are concerned  -resiliency

about include -vulnerability

-stability

-complexity

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