ICU BKAT Questions and Answers Already Passed

ICU BKAT Questions and Answers Already Passed while receiving tpa, what would warrant for you to stop the medication change in mental status systolic murmur that is ausculatated at the 2nd intercostal space, right sternal border is ? aortic stenosis removing a line hold pressure for? 8-10 minutes CVP reading directly reflects presue in the right atrium elevated CVP may indicate? right heart failure pulmonary artery occlusive wedge pressure reflects pressure where? left ventricle normal pulmonary artery pressure is 10-20/0-4 mean 5-10 mmhg normal PAOP 6-12 elevated PAOP indicates Left ventricle failure 68 year old complains of feeling a little funny in his chest and ecg shows afib/flutter. what medication should be used to treat? diltizepam qrs complex longer that .12 indicates bundle branch block care should be excercised when administering IV dopamine becuase? infiltration leads to tissue necrosis strong ventricular stimulus is potentially dangerous when it lands where t wave indication for use of external cardiac pacemaker includes symptomatic complete heart block initial durg treatment for sustained ventricular tachycardia when a pulse is present amiodarone 150mgIV bolus over 10 minutes patient become apneic and pulseless . the monitor shows asytole. the drug used initially? epineprhine antidote for heparin protamine sulfate most improatnt step in preventing central venous related sepsis is thorough handwashing excessive amount of chest tube drainage during the first few hours following surgery is how many ml/hr 150 ph 7.4, pO2 98, pco2 38, HCO3 25 --? what is this normal values (22-28 HCO3, 35-45 PCO2 normal) before sucitioning a patient, you should adjust the vacuum pressure so that it is 120mmHg of __ pressure your post op patient has left anterior chest tube. Whn you ausculatate the lung fields bilaterally you hear dminshed breath sounds in the right posterior base. THis is most likely due to? atelectasis patient on ventilator and low volume alarm sounds. THis is due to? disconnected tubing high pressure alarm on respirator will NOT be triggered by what? leaking cuff most important reason for diminshing breath sounds in motor vechile crash victim with closed chest trauma is development of pneumothorax trauma patient 4 days post fracture suddenly develops SOB, most likely cause is? fat embolus preventing Ventilator pna, most important action is handwashing and gloves when suctioing most imporant nursing acticity for patient with dx of cervical spinal cord injury is immbolize head earliest sign of increase ICP is? change in LOC assess proper positioning of et tube, most important nursing action? listen for bilateral breath sounds deepening ICP characterized by widened pulse pressure drug of choice to reduce ICP mannitol positive babinski in adult represents abnormal finding which of the folliwng is wrong -- acute phse of stroke treatment initiating tpa if within 8 hours most improtant part of nuero check evaluating LOC DKA sx fruity breath, deep and rapid breathing sx of hypoglycemia weakness, headache, diaphoresis what would you NOT give to someone in DKA coma dextrose DM acutely ill require __ insulin dose higher dose of insluin psychophyisoligc stress response fro acute illness and being in an icu can result in decrease urine output which of the following insluins will have peak action within 2-4 hours regular NPH - when would you expect an insulin reaction to occur 1-2 hours (NOT 3-4) patient with ET tube audbily speaks - what do you do? check cuff Pt post op craniotomy fasting bs of 100, extreme thirst and urine output greater than 1000mls over two hours, suspect DI 150 pound person normal urine out put 30 practices to decrease catheter associated urinary tract infection does not include which of the following d/c enterla tube feeing if diarrhea occurs pt has acute renal failure. Medications that are normally excreted through the kidneys will be? decrease in dosage (NOT D/C) enteral feeding in acute renal failure commonly includes restricted protein, low potassium, low sodium sudden development of dyspnea and sinus tachy is an acute ranl failure patient would most likely inidcate which of the following fluid overload ecg changes in hyperkalemia wide QRS, tall peaked T waves when feeding patient with tube feedings, most important action to prevent aspiration keep HOB elevated low intermittent suction of gastric contens is not generally used in which response below control bleeding safe placement of NG tube best assessed by obtaining radiographic confirmation coffeegroun ematerial post ex lap? normal finding symptomatic bradycardia treatment atropine what drug will crystallize when given iv with D5S? dilantin (NOT pehnobarbital) precautions in using iV nitropursside is not included in which response below ? continuous monitoring for sudden decrease in BP dosage of which drug must be tappered off slowly to prevent acute adrenal insuffieicney cortisone which of the folowing is not a manifestation of dig tox PAT with block Health care power of attorney has right to decide on husbands care if he loses consciousness initial measures for treatment of anginga doesnt include beta blockers (includes nitro, oxygen, resting) elevated cardiac iso enzymes generally do not occur in what CHF major therapeutic goal in treatment of cardiogenic shock improve renal function nipride plus dubotamine effects? reduce preload and afterload improving contracitlity pt with cervical spine injury, most improtant observations that most concern which of the folowing parameters? respirations