NR 341 Complex Adult Health- Test 1 Exam Questions with 100% Correct Answers

Ps and Qs don't agree Correct Answer Third degree heart block Third degree block Correct Answer no P wave for every Complex no constant PR interval Sx: hypotension, angina, HF Cause: Rheumatic fever, hypoxia, MI, dig toxicity, beta blocker overdose Tx: Epi drip to increase heart rate, permanent pacemaker First degree block Correct Answer prolong PR interval Cause: hyper/hypokalemia, dig toxicity, Ca.Channel Blockers, amiodarone Tx: Atropine Torsades de pointes Correct Answer twisting about the points cause: alcoholic, anorexia Sx: hypomagnesemia <1.4, hypokalemia, Tetany, tremors, hyperreflexia Tx: Mag push, Potassium push Ventricular Fibrillation Correct Answer uncoordinated and chaotic Cause: MI Sx: loss of consciousness, pulseless, sudden death Tx: 1-check pulse 2-pulseless; CPR/Defib pulse; Epi every 3-5min 1mg Asystole Correct Answer no ventricular contraction must be assessed in more than 1 lead Tx: CPR, epic every 3-5min 1mg, pulseless electrical activity (PEA) Correct Answer Hs: Hypovolemia, Hypoxia, Hydrogran ions (acidosis), Hyper/hypokalemia, Hypothermia Ts: Toxins, Tamponade, Thrombosis (cardiac), Thrombosis (pulmonary), Tension pneumothorax Supraventricular Tachycardia (SVT) Correct Answer HR 150-200bpm T&P merge Cause: overexertion, stress, stimulants Tx: 1-vagal maneuver (cough/bear down) 2-AV nodal blocking agents (CCB, Beta blockers, amiodaraone) 3-IV adenosine (can cause flat line) 4-Cardioversion Ventricular tachycardia Correct Answer EMERGENCY! Sx: lightheadedness, weak, unconscious Cause: MI, aneurysm, CAD, hyper/hypokalemia, PE