Rasmussen - MDC III - Final Exam questions
with correct answers
respiratory |alkalosis |- |VERIFIED |ANSWER✔✔-high |pH, |low |CO2
pH: |7.35-7.45 |acidic-basic
HCO3: |21-28 |acidic-basic
CO2: |45-35 |acidic-basic
metabolic |acidosis |- |VERIFIED |ANSWER✔✔-low |pH, |low |HCO3
pH: |7.35-7.45 |acidic-basic
HCO3: |21-28 |acidic-basic
CO2: |45-35 |acidic-basic
respiratory |acidosis |- |VERIFIED |ANSWER✔✔-low |pH, |high |CO2
pH: |7.35-7.45 |acidic-basic
HCO3: |21-28 |acidic-basic
CO2: |45-35 |acidic-basic
metabolic |alkalosis |- |VERIFIED |ANSWER✔✔-high |pH, |high |HCO3
pH: |7.35-7.45 |acidic-basic
HCO3: |21-28 |acidic-basic
CO2: |45-35 |acidic-basic
▪ |change |in |condition |make |take |priority |over |ABCs |(ex: |post |op |bleeding |is |priority |
over |an |O2 |Sat% |of |90%)
▪ |pick |the |patient |that |is |going |to |die |first |- |VERIFIED |ANSWER✔✔-Priority |
questions...something |to |consider
CPR, |press |the |code |button |- |VERIFIED |ANSWER✔✔-You |walk |into |your |patient's |
room |and |they |*don't |have |a |pulse*, |what |are |you |going |to |do?
bag |resuscitation, |press |the |code |button |- |VERIFIED |ANSWER✔✔-You |walk |into |your |
patient's |room |and |they |are |*not |breathing |but |have |a |pulse*, |what |are |you |going |to |
do?
▪ |unconscious, |pulseless
▪ |shock |them |with |the |AED! |- |VERIFIED |ANSWER✔✔-If |you |walk |into |a |room |with |a |
patient |that |is |in |*ventricular |fibrillation |(v |fib)*
▪ |How |will |they |present?
▪ |What |must |we |do |to |get |them |out |of |that |state?
▪ |make |them |bear |down |(valsalva |maneuver)
▪ |make |them |cough |(vagal |maneuver) |- |VERIFIED |ANSWER✔✔-If |you |walk |into |a |room
|and |a |patient |is |alert |and |oriented, |speaking |to |you, |has |a |pulse, |but |their |cardiac |
monitor |shows |they |are |in |*ventricular |tachycardia*
▪ |What |are |you |going |to |do?
, Supraventricular |Tachycardia |(SVT) |- |VERIFIED |ANSWER✔✔-Which |cardiac |rhythm |
requires |the |patient |to |take |*adenosine*?
▪ |they |may |end |up |with |a |*blood |clot* |because |the |blood |is |pooling |in |the |atria |- |
VERIFIED |ANSWER✔✔-What |is |our |priority |concern |for |a |patient |in |*atrial |fibrillation
|(a-fib)*?
*control |RVR |for |patient:*
▪ |give |anticoagulants
▪ |beta |blockers, |digoxin, |diltiazem
▪ |if |meds |don't |work...cardioversion |(synchronized |shock |to |re-start |the |rhythm)
▪ |if |cardioversion |doesn't |work...ablation |- |VERIFIED |ANSWER✔✔-Nursing |
Interventions: |*A-fib |RVR*
▪ |chest |pain
▪ |SOB
▪ |diaphoresis
▪ |N/V
▪ |hypertension
▪ |tachycardia
▪ |jaw |pain, |anxiety, |indigestion |(women)
▪ |elevated |troponin |levels
▪ |EKG |changes |- |ST |elevation |- |VERIFIED |ANSWER✔✔-If |you |have |a |patient |who |
comes |into |the |ED |and |they |are |having |an |MI, |what |are |the |signs/symptoms? |lab |
values |to |confirm |this?
*Oxygen* |- |1st
*Nitro* |- |given |sublingual, |3 |doses |q |5 |min |(home), |drip |(hospital), |drops |BP |
(vasodilator)
*Aspirin* |- |antiplatelet, |stops |clotting, |325 |mg, |chew |it
*Morphine* |- |calms |the |patient |down, |helps |pain |- |VERIFIED |ANSWER✔✔-Treatment: |
*Myocardial |Infarction*
▪ |CPK
▪ |troponin
▪ |CK-MB
▪ |BNP |- |VERIFIED |ANSWER✔✔-Name |the |cardiac |enzymes
angioplasty
stent |the |artery
angiogram
remove |clots
cardiac |catheterization |- |VERIFIED |ANSWER✔✔-Procedures: |*Myocardial |Infarction |
(MI)*
CABG |(Coronary |Artery |Bypass |Graft) |- |VERIFIED |ANSWER✔✔-Procedure: |Patient |
has |an |MI |and |extreme |plaque |build |up
pericarditis |- |VERIFIED |ANSWER✔✔-inflammation |of |the |membrane |surrounding |the |
heart
heart |can't |expand |and |contract |properly |(*cardiac |tamponade*) |- |VERIFIED |
ANSWER✔✔-When |you |have |pericarditis |what |are |you |at |risk |for?
with correct answers
respiratory |alkalosis |- |VERIFIED |ANSWER✔✔-high |pH, |low |CO2
pH: |7.35-7.45 |acidic-basic
HCO3: |21-28 |acidic-basic
CO2: |45-35 |acidic-basic
metabolic |acidosis |- |VERIFIED |ANSWER✔✔-low |pH, |low |HCO3
pH: |7.35-7.45 |acidic-basic
HCO3: |21-28 |acidic-basic
CO2: |45-35 |acidic-basic
respiratory |acidosis |- |VERIFIED |ANSWER✔✔-low |pH, |high |CO2
pH: |7.35-7.45 |acidic-basic
HCO3: |21-28 |acidic-basic
CO2: |45-35 |acidic-basic
metabolic |alkalosis |- |VERIFIED |ANSWER✔✔-high |pH, |high |HCO3
pH: |7.35-7.45 |acidic-basic
HCO3: |21-28 |acidic-basic
CO2: |45-35 |acidic-basic
▪ |change |in |condition |make |take |priority |over |ABCs |(ex: |post |op |bleeding |is |priority |
over |an |O2 |Sat% |of |90%)
▪ |pick |the |patient |that |is |going |to |die |first |- |VERIFIED |ANSWER✔✔-Priority |
questions...something |to |consider
CPR, |press |the |code |button |- |VERIFIED |ANSWER✔✔-You |walk |into |your |patient's |
room |and |they |*don't |have |a |pulse*, |what |are |you |going |to |do?
bag |resuscitation, |press |the |code |button |- |VERIFIED |ANSWER✔✔-You |walk |into |your |
patient's |room |and |they |are |*not |breathing |but |have |a |pulse*, |what |are |you |going |to |
do?
▪ |unconscious, |pulseless
▪ |shock |them |with |the |AED! |- |VERIFIED |ANSWER✔✔-If |you |walk |into |a |room |with |a |
patient |that |is |in |*ventricular |fibrillation |(v |fib)*
▪ |How |will |they |present?
▪ |What |must |we |do |to |get |them |out |of |that |state?
▪ |make |them |bear |down |(valsalva |maneuver)
▪ |make |them |cough |(vagal |maneuver) |- |VERIFIED |ANSWER✔✔-If |you |walk |into |a |room
|and |a |patient |is |alert |and |oriented, |speaking |to |you, |has |a |pulse, |but |their |cardiac |
monitor |shows |they |are |in |*ventricular |tachycardia*
▪ |What |are |you |going |to |do?
, Supraventricular |Tachycardia |(SVT) |- |VERIFIED |ANSWER✔✔-Which |cardiac |rhythm |
requires |the |patient |to |take |*adenosine*?
▪ |they |may |end |up |with |a |*blood |clot* |because |the |blood |is |pooling |in |the |atria |- |
VERIFIED |ANSWER✔✔-What |is |our |priority |concern |for |a |patient |in |*atrial |fibrillation
|(a-fib)*?
*control |RVR |for |patient:*
▪ |give |anticoagulants
▪ |beta |blockers, |digoxin, |diltiazem
▪ |if |meds |don't |work...cardioversion |(synchronized |shock |to |re-start |the |rhythm)
▪ |if |cardioversion |doesn't |work...ablation |- |VERIFIED |ANSWER✔✔-Nursing |
Interventions: |*A-fib |RVR*
▪ |chest |pain
▪ |SOB
▪ |diaphoresis
▪ |N/V
▪ |hypertension
▪ |tachycardia
▪ |jaw |pain, |anxiety, |indigestion |(women)
▪ |elevated |troponin |levels
▪ |EKG |changes |- |ST |elevation |- |VERIFIED |ANSWER✔✔-If |you |have |a |patient |who |
comes |into |the |ED |and |they |are |having |an |MI, |what |are |the |signs/symptoms? |lab |
values |to |confirm |this?
*Oxygen* |- |1st
*Nitro* |- |given |sublingual, |3 |doses |q |5 |min |(home), |drip |(hospital), |drops |BP |
(vasodilator)
*Aspirin* |- |antiplatelet, |stops |clotting, |325 |mg, |chew |it
*Morphine* |- |calms |the |patient |down, |helps |pain |- |VERIFIED |ANSWER✔✔-Treatment: |
*Myocardial |Infarction*
▪ |CPK
▪ |troponin
▪ |CK-MB
▪ |BNP |- |VERIFIED |ANSWER✔✔-Name |the |cardiac |enzymes
angioplasty
stent |the |artery
angiogram
remove |clots
cardiac |catheterization |- |VERIFIED |ANSWER✔✔-Procedures: |*Myocardial |Infarction |
(MI)*
CABG |(Coronary |Artery |Bypass |Graft) |- |VERIFIED |ANSWER✔✔-Procedure: |Patient |
has |an |MI |and |extreme |plaque |build |up
pericarditis |- |VERIFIED |ANSWER✔✔-inflammation |of |the |membrane |surrounding |the |
heart
heart |can't |expand |and |contract |properly |(*cardiac |tamponade*) |- |VERIFIED |
ANSWER✔✔-When |you |have |pericarditis |what |are |you |at |risk |for?
