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NR341 COMPLEX ADULT HEALTH EXAM QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW 2025

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NR341 COMPLEX ADULT HEALTH EXAM QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW 2025

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NR341 COMPLEX ADULT HEALTH EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025

Indication for arterial line placement? - ANSWER -
>Hemodynamic monitoring
Multiple blood samples
Diagnostic or interventional radiology procedures
Continuous cardiac output monitoring

What test must be preformed prior to an arterial line
placement? - ANSWER - >Allen's test

How often should a fast flush test be preformed? -
ANSWER - >Every 8 hours
After blood draws
If the hemodynamic status changes
When changing tubing

What are the most common sites for arterial line
insertion? - ANSWER - >Radial
Femoral
Axillary
Dorsalis Pedis
Brachial Arteries

,Positioning for radial arterial line placement: - ANSWER -
>30-60 degrees of dorsiflexion with the aid of a roll of
gauze and an armband.
Avoid hyperabduction of the thumb.

How often should the atrial line catheter be changed
out? - ANSWER - >Every 7 days

Causes of inaccuracy in arterial line readings: - ANSWER -
>Air bubbles in the catheter system
Failure to zero the transducer air-fluid interface
Blood in the catheter system
Blood clot at the catheter tip
Kinking of the tubing system
Catheter tip lodging against the arterial wall
Soft, compliant tubing
Long tubing
Too many stopckcks (>3)

What is the pathology of afterload? - ANSWER - >The
pressure in which the heart must pump against in order
to eject blood during systole.

Medications that reduce afterload/preload include? -
ANSWER - >Vasodilators

,What is the pathology of preload? - ANSWER - >The
filling pressure of the heart at end of diastole.

What is systemic vascular resistance (SVR)? - ANSWER -
>Resistance the left ventricle must overcome to open the
aortic valve and eject a volume of blood into systemic
circulation.

Systemic vascular resistance (SVR) is used for what
calculations? - ANSWER - >Blood pressure
Blood flow
Cardiac function

What is pulmonary vascular resistance (PVR)? - ANSWER
- >Resistacne the right ventricle must overcome to open
the pulmonic valve and eject a volume of blood in the
pulmonary vasculature.

What is pulmonarartery occlusion pressure (PAOP)? -
ANSWER - >The pressure created by the volume of blood
that remains in the left heart at end-diastole.

Inotropic drugs mode of action: - ANSWER - >Negative
inotropic drugs weaken the force of muscular
contractions.

, Positive inotropic drugs increase the strength of
muscular contractions.

Inotropic drug examples: - ANSWER - >Dobutamine
Digoxin
Milrinone
Dopamine

Vasodilator mode of actions: - ANSWER - >Relaxes the
smooth muscles of the blood vessels opening them up.

Vasodilator drug examples: - ANSWER - >CCBS:
Verapamil (Calan, Isoptin)
Diltiazem (Cardizem)
Atorvastatin (Lipitor)
Nitrates:
Sildenafil (Viagra)
Nitroprusside (Nipride, Nitropress)
ACE:
Captopril (Capoten)
Lisinopril (Prinivil, Zestril)

Kayexalate - ANSWER - >Exchanges K+ ions for Na+
Excess K+ ions are fecally excreted

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