NR 464 Exam II Questions With Complete Solutions
How do you care for a patient with hypothyroidism Correct
Answers Skin care, vital signs, I/O, edema, cardiac response to
hormone, energy level
How do you measure for HR on an EKG Correct Answers
Count the R-R intervals in 6 second strip and multiply by 10
How do you treat A fib Correct Answers control rate with Beta
Ca channel blockers
Convert rate with antiarrhythmics (amiodarone, ibutilide)
Anticoag (warfarin, pradaxa, aspirin)
Cardioversion
How do you treat A flutter Correct Answers Control rate with
Ca channel and beta blockers
Antiarrhythmics (amiodarone)
Anticoagulation (warfarin)
Cardioversion
Ablation
,How do you treat addisons disease Correct Answers D5NS
Give glucose
Corticosteroids
How do you treat cushing syndrome Correct Answers depends
on cause
Remove any tumors
Reduce adrenal function
How do you treat diabetes insipidus Correct Answers treat
central cause
fluid replacement
hormone replacement
I/O
Daily weights
Low Na diet
How do you treat heart blocks Correct Answers Often from
ischemia
Place O2, 12 lead, vitals, assess hemodynamic stability
Pacer pads
,Atropine
crash cart
How do you treat PAC Correct Answers If asymptomatic dont
treat
Withdraw sources of stimulation, give beta blockers
lifestyle changes
How do you treat SIADH Correct Answers Treat the cause
Restrict fluids
Give saline if very hyponatremia
Assess low urine output high BP, sudden weight gain,
Let have hard candy
How do you treat sinus tachycardia Correct Answers If
Asymptomatic nothing
Symptomatic - give IV fluids, have patient do valsalva
maneuver, give beta or ca channel blocker
correct etiology
How do you treat SVT Correct Answers Vagal maneuver
, Convert rhythm (adenosine, antiarrhythmics, beta Ca blocker)
Cardioversion
Ablation
How does defibrillation work Correct Answers CPR then defib
call out all clear
How does the negative feedback loop work in the thyroid gland
Correct Answers Hypothalamus - TRH - Anterior pituitary -
TSH - Thyroid - T3 T4
How does the thyroid work? Correct Answers Regulate
hormones of metabolism and growth.
Thyroxine T4 and (converts to) Triiodothyronie T3
Synthesized from iodine
How is cardiac output compromised Correct Answers HR
either too fast or too slow
Too fast - ventricles cannot fill
Too slow - not enough blood pumped
How do you care for a patient with hypothyroidism Correct
Answers Skin care, vital signs, I/O, edema, cardiac response to
hormone, energy level
How do you measure for HR on an EKG Correct Answers
Count the R-R intervals in 6 second strip and multiply by 10
How do you treat A fib Correct Answers control rate with Beta
Ca channel blockers
Convert rate with antiarrhythmics (amiodarone, ibutilide)
Anticoag (warfarin, pradaxa, aspirin)
Cardioversion
How do you treat A flutter Correct Answers Control rate with
Ca channel and beta blockers
Antiarrhythmics (amiodarone)
Anticoagulation (warfarin)
Cardioversion
Ablation
,How do you treat addisons disease Correct Answers D5NS
Give glucose
Corticosteroids
How do you treat cushing syndrome Correct Answers depends
on cause
Remove any tumors
Reduce adrenal function
How do you treat diabetes insipidus Correct Answers treat
central cause
fluid replacement
hormone replacement
I/O
Daily weights
Low Na diet
How do you treat heart blocks Correct Answers Often from
ischemia
Place O2, 12 lead, vitals, assess hemodynamic stability
Pacer pads
,Atropine
crash cart
How do you treat PAC Correct Answers If asymptomatic dont
treat
Withdraw sources of stimulation, give beta blockers
lifestyle changes
How do you treat SIADH Correct Answers Treat the cause
Restrict fluids
Give saline if very hyponatremia
Assess low urine output high BP, sudden weight gain,
Let have hard candy
How do you treat sinus tachycardia Correct Answers If
Asymptomatic nothing
Symptomatic - give IV fluids, have patient do valsalva
maneuver, give beta or ca channel blocker
correct etiology
How do you treat SVT Correct Answers Vagal maneuver
, Convert rhythm (adenosine, antiarrhythmics, beta Ca blocker)
Cardioversion
Ablation
How does defibrillation work Correct Answers CPR then defib
call out all clear
How does the negative feedback loop work in the thyroid gland
Correct Answers Hypothalamus - TRH - Anterior pituitary -
TSH - Thyroid - T3 T4
How does the thyroid work? Correct Answers Regulate
hormones of metabolism and growth.
Thyroxine T4 and (converts to) Triiodothyronie T3
Synthesized from iodine
How is cardiac output compromised Correct Answers HR
either too fast or too slow
Too fast - ventricles cannot fill
Too slow - not enough blood pumped
