Exam 4: NUR201 / NUR 201 (Latest
Update) Medical-
Surgical Nursing I | Questions and
Verified Answers 100% Correct |
Grade A - Fortis
Question:
Nurse is caring for a patient who is receiving IV furosemide (lasix) and
morphine for the treatment of acute decompensated heart failure with severe
orthopnea. Which clinical finding is the best indicator that the treatment has
been effective?
Answer:
Reduced dyspnea with the head of bed at 30 degrees
Question:
The nurse plans discharge teaching for a patient with chronic heart failure
who has prescriptions for digoxin (Lanoxin) and hydrochlorothiazide
(HydroDIURIL). Appropriate instructions for the patient include
Answer:
Notify the health care provider if nausea develops (any alteration of
potassium your body uses digoxin differently. Possible dig toxicity)
,Question:
The nurse obtains a rhythm strip on a patient who has had a myocardial
infarction and makes the following analysis: no visible P waves, P-R interval
not measurable, ventricular rate 162, R-R interval regular, and QRS complex
wide and distorted, QRS duration 0.18 second. The nurse interprets the
patient's cardiac rhythm as
Answer:
Ventricular tachycardia (tombstone wide QRS) The widow maker patient
going unconscious bp low, may or may not have a pulse. Shock it.
Question:
How is Supraventricular tachycardia different from ventricular tachycardia?
Answer:
SVT QRS looks normal but very fast. HR 150-220 bpm Vagal stimulation (bare
down) Medication Adenosine give as close to the heart as possible push FAST
Slam flush w 20 cc ns.
Question:
A patient with dilated cardiomyopathy has new onset atrial fibrillation that
has been unresponsive to drug therapy for several days. Teaching for this
patient would include information about
Answer:
(a-Fib) anticoagulant therapy. In a fib the ventricles do not push all of the
blood out so it just sits there and coagulates. The clots then can move out and
cause stroke etc. (Fib=quiver)
,Question:
If patient has been in A-Fib longer than 24 hrs what is treatment?
Answer:
Send home on anticoagulants for 4-6 weeks as long as stable and
asymptomatic.
Question:
Tell me what is happening in the heart with ventricular fibrillation?
Answer:
Ventricle is just quivering, not perfusing, unresponsive, pulseless and apneic
How do we treat? CPR and Shock them
Question:
What is the difference between 1st, 2nd and 3rd degree heart block?
Answer:
1st av conduction taking longer
2nd av conduction just missing some beats
3rd complete block
, Question:
What does SBAR stand for?
Answer:
Situation
Background
Assessment
Recommendation
Question:
RHF
Answer:
backward failure; ↑ venous hydrostatic pressure; neck vein distention,
hepatomegaly, edema (systemic)
Question:
LHF
Answer:
forward failure; pulmonary edema, pillow orthopnea, paroxysmal nocturnal
dyspnea
Update) Medical-
Surgical Nursing I | Questions and
Verified Answers 100% Correct |
Grade A - Fortis
Question:
Nurse is caring for a patient who is receiving IV furosemide (lasix) and
morphine for the treatment of acute decompensated heart failure with severe
orthopnea. Which clinical finding is the best indicator that the treatment has
been effective?
Answer:
Reduced dyspnea with the head of bed at 30 degrees
Question:
The nurse plans discharge teaching for a patient with chronic heart failure
who has prescriptions for digoxin (Lanoxin) and hydrochlorothiazide
(HydroDIURIL). Appropriate instructions for the patient include
Answer:
Notify the health care provider if nausea develops (any alteration of
potassium your body uses digoxin differently. Possible dig toxicity)
,Question:
The nurse obtains a rhythm strip on a patient who has had a myocardial
infarction and makes the following analysis: no visible P waves, P-R interval
not measurable, ventricular rate 162, R-R interval regular, and QRS complex
wide and distorted, QRS duration 0.18 second. The nurse interprets the
patient's cardiac rhythm as
Answer:
Ventricular tachycardia (tombstone wide QRS) The widow maker patient
going unconscious bp low, may or may not have a pulse. Shock it.
Question:
How is Supraventricular tachycardia different from ventricular tachycardia?
Answer:
SVT QRS looks normal but very fast. HR 150-220 bpm Vagal stimulation (bare
down) Medication Adenosine give as close to the heart as possible push FAST
Slam flush w 20 cc ns.
Question:
A patient with dilated cardiomyopathy has new onset atrial fibrillation that
has been unresponsive to drug therapy for several days. Teaching for this
patient would include information about
Answer:
(a-Fib) anticoagulant therapy. In a fib the ventricles do not push all of the
blood out so it just sits there and coagulates. The clots then can move out and
cause stroke etc. (Fib=quiver)
,Question:
If patient has been in A-Fib longer than 24 hrs what is treatment?
Answer:
Send home on anticoagulants for 4-6 weeks as long as stable and
asymptomatic.
Question:
Tell me what is happening in the heart with ventricular fibrillation?
Answer:
Ventricle is just quivering, not perfusing, unresponsive, pulseless and apneic
How do we treat? CPR and Shock them
Question:
What is the difference between 1st, 2nd and 3rd degree heart block?
Answer:
1st av conduction taking longer
2nd av conduction just missing some beats
3rd complete block
, Question:
What does SBAR stand for?
Answer:
Situation
Background
Assessment
Recommendation
Question:
RHF
Answer:
backward failure; ↑ venous hydrostatic pressure; neck vein distention,
hepatomegaly, edema (systemic)
Question:
LHF
Answer:
forward failure; pulmonary edema, pillow orthopnea, paroxysmal nocturnal
dyspnea
