NR 341/ NR341 COMPLEX ADULT HEALTH EXAM 1 LATEST REAL
NR 341 - Complex Adult Health final
EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE/GET IT 100%
Study online at https://quizlet.com/_5bfawl
ACCURATE!!
1. Indication for ar- Hemodynamic monitoring
terial line place- Multiple blood samples
ment? Diagnostic or interventional radiology procedures
Continuous cardiac output monitoring
2. What test must Allen's test
be preformed
prior to an ar-
terial line place-
ment?
3. How often Every 8 hours
should a fast After blood draws
flush test be pre- If the hemodynamic status changes
formed? When changing tubing
4. What are the Radial
most common Femoral
sites for arterial Axillary
line insertion? Dorsalis Pedis
Brachial Arteries
5. Positioning for 30-60 degrees of dorsiflexion with the aid of a roll of gauze and an armband.
radial arterial line Avoid hyperabduction of the thumb.
placement:
6. How often Every 7 days
should the atrial
line catheter be
changed out?
7. Air bubbles in the catheter system
Failure to zero the transducer air-fluid interface
, NR 341 - Complex Adult Health final
Study online at https://quizlet.com/_5bfawl
Causes of inac- Blood in the catheter system
curacy in arterial Blood clot at the catheter tip
line readings: Kinking of the tubing system
Catheter tip lodging against the arterial wall
Soft, compliant tubing
Long tubing
Too many stopckcks (>3)
8. What is the The pressure in which the heart must pump against in order to eject blood during
pathology of af- systole.
terload?
9. Medications that Vasodilators
reduce after-
load/preload in-
clude?
10. What is the The filling pressure of the heart at end of diastole.
pathology of pre-
load?
11. What is sys- Resistance the left ventricle must overcome to open the aortic valve and eject a
temic vascular re- volume of blood into systemic circulation.
sistance (SVR)?
12. Systemic vas- Blood pressure
cular resistance Blood flow
(SVR) is used Cardiac function
for what calcula-
tions?
13. Resistacne the right ventricle must overcome to open the pulmonic valve and eject
a volume of blood in the pulmonary vasculature.
, NR 341 - Complex Adult Health final
Study online at https://quizlet.com/_5bfawl
What is pul-
monary vascular
resistance (PVR)?
14. What is pul- The pressure created by the volume of blood that remains in the left heart at
monarartery oc- end-diastole.
clusion pressure
(PAOP)?
15. Inotropic drugs Negative inotropic drugs weaken the force of muscular contractions.
mode of action: Positive inotropic drugs increase the strength of muscular contractions.
16. Inotropic drug Dobutamine
examples: Digoxin
Milrinone
Dopamine
17. Vasodilator Relaxes the smooth muscles of the blood vessels opening them up.
mode of actions:
18. Vasodilator drug CCBS:
examples: Verapamil (Calan, Isoptin)
Diltiazem (Cardizem)
Atorvastatin (Lipitor)
Nitrates:
Sildenafil (Viagra)
Nitroprusside (Nipride, Nitropress)
ACE:
Captopril (Capoten)
Lisinopril (Prinivil, Zestril)
19. Kayexalate Exchanges K+ ions for Na+
Excess K+ ions are fecally excreted
, NR 341 - Complex Adult Health final
Study online at https://quizlet.com/_5bfawl
20. Calcium Glu- Prevents and treats cardiac toxicity related to increased K+ levels
conate
21. What is the pur- Dialysis
pose of Contin- This is a blood filtering therapy that replaced the normal blood-filtering function
uous Renal Re- of the kidneys in patients with renal failure and acute kidney injuries.
placement Ther-
apy (CRRT)?
22. The prerenal sys- Delivers blood to the kidneys.
tem
23. A prerenal block An interruption on the way to the kidneys.
is:
24. The intrarenal Processes ultra-filtrate by tubular secretion & re-absorption.
system
25. An intrarenal Direct damage to the kidneys.
block is:
26. The postrenal Excretes kidney waste products through the ureters, bladder, and urethra.
system
27. A postrenal block Obstruction of urine output.
is: Causes:
Enlarged prostate
Kidney stones
Bladder tumor
Bladder injury
28. S/SX of the olig-
uric phase of
NR 341 - Complex Adult Health final
EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE/GET IT 100%
Study online at https://quizlet.com/_5bfawl
ACCURATE!!
1. Indication for ar- Hemodynamic monitoring
terial line place- Multiple blood samples
ment? Diagnostic or interventional radiology procedures
Continuous cardiac output monitoring
2. What test must Allen's test
be preformed
prior to an ar-
terial line place-
ment?
3. How often Every 8 hours
should a fast After blood draws
flush test be pre- If the hemodynamic status changes
formed? When changing tubing
4. What are the Radial
most common Femoral
sites for arterial Axillary
line insertion? Dorsalis Pedis
Brachial Arteries
5. Positioning for 30-60 degrees of dorsiflexion with the aid of a roll of gauze and an armband.
radial arterial line Avoid hyperabduction of the thumb.
placement:
6. How often Every 7 days
should the atrial
line catheter be
changed out?
7. Air bubbles in the catheter system
Failure to zero the transducer air-fluid interface
, NR 341 - Complex Adult Health final
Study online at https://quizlet.com/_5bfawl
Causes of inac- Blood in the catheter system
curacy in arterial Blood clot at the catheter tip
line readings: Kinking of the tubing system
Catheter tip lodging against the arterial wall
Soft, compliant tubing
Long tubing
Too many stopckcks (>3)
8. What is the The pressure in which the heart must pump against in order to eject blood during
pathology of af- systole.
terload?
9. Medications that Vasodilators
reduce after-
load/preload in-
clude?
10. What is the The filling pressure of the heart at end of diastole.
pathology of pre-
load?
11. What is sys- Resistance the left ventricle must overcome to open the aortic valve and eject a
temic vascular re- volume of blood into systemic circulation.
sistance (SVR)?
12. Systemic vas- Blood pressure
cular resistance Blood flow
(SVR) is used Cardiac function
for what calcula-
tions?
13. Resistacne the right ventricle must overcome to open the pulmonic valve and eject
a volume of blood in the pulmonary vasculature.
, NR 341 - Complex Adult Health final
Study online at https://quizlet.com/_5bfawl
What is pul-
monary vascular
resistance (PVR)?
14. What is pul- The pressure created by the volume of blood that remains in the left heart at
monarartery oc- end-diastole.
clusion pressure
(PAOP)?
15. Inotropic drugs Negative inotropic drugs weaken the force of muscular contractions.
mode of action: Positive inotropic drugs increase the strength of muscular contractions.
16. Inotropic drug Dobutamine
examples: Digoxin
Milrinone
Dopamine
17. Vasodilator Relaxes the smooth muscles of the blood vessels opening them up.
mode of actions:
18. Vasodilator drug CCBS:
examples: Verapamil (Calan, Isoptin)
Diltiazem (Cardizem)
Atorvastatin (Lipitor)
Nitrates:
Sildenafil (Viagra)
Nitroprusside (Nipride, Nitropress)
ACE:
Captopril (Capoten)
Lisinopril (Prinivil, Zestril)
19. Kayexalate Exchanges K+ ions for Na+
Excess K+ ions are fecally excreted
, NR 341 - Complex Adult Health final
Study online at https://quizlet.com/_5bfawl
20. Calcium Glu- Prevents and treats cardiac toxicity related to increased K+ levels
conate
21. What is the pur- Dialysis
pose of Contin- This is a blood filtering therapy that replaced the normal blood-filtering function
uous Renal Re- of the kidneys in patients with renal failure and acute kidney injuries.
placement Ther-
apy (CRRT)?
22. The prerenal sys- Delivers blood to the kidneys.
tem
23. A prerenal block An interruption on the way to the kidneys.
is:
24. The intrarenal Processes ultra-filtrate by tubular secretion & re-absorption.
system
25. An intrarenal Direct damage to the kidneys.
block is:
26. The postrenal Excretes kidney waste products through the ureters, bladder, and urethra.
system
27. A postrenal block Obstruction of urine output.
is: Causes:
Enlarged prostate
Kidney stones
Bladder tumor
Bladder injury
28. S/SX of the olig-
uric phase of
