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Which of the following would be the earliest auscultatory
finding in left ventricular failure (LVF)?
A. Crackles
B. S3
C. Murmur of mitral regurgitation
D. Pericardial friction rub - Correct Answers ✅B. S3
LVF would be the most subtle because early changes are
usually subtle changes. Choose "S3."
A patient with a triple-lumen subclavian catheter has been
receiving total parenteral nutrition, maintenance fluids, and
antibiotics by the catheter. He has been slightly confused.
Suddenly he grasps the catheter and pulls it out. He then
complains of shortness of breath, and his pulse oximetry
indicates an SpO2 of 84%. How should this patient be
positioned?
A. Head down, left side
B. Head down, right side
C. Head of bed elevated, left side
D. Head of bed elevated, right side - Correct Answers ✅A.
Head down, left side
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Envision a big air bubble in the patient's heart. Think: what
position would decrease the movement of the air embolism
out of the right side of the heart. Chose "Head down, left
side."
Oxygen delivery (DO2) is the product of which of the
following?
A.
PaO2, hemoglobin, mean arterial pressure
B.
SaO2, hemoglobin, cardiac output
C.
SvO2, cardiac index, SaO2
D.
PaO2, mean arterial pressure, SvO2 - Correct Answers ✅B.
SaO2, hemoglobin, cardiac output
Oxygen is delivered from the arterial end, so choose an
option that has SaO2
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Which of the following is the most significant complication of
status asthmaticus?
A.
Pulmonary embolism
B.
Acute respiratory failure
C.
Hypertension
D.
Anaphylaxis - Correct Answers ✅B. Acute respiratory
failure
A 22-year-old man is admitted to the critical care unit after a
motor vehicle collision. The emergency department nurse
reports that he was unconscious at the scene of the accident,
but he is now alert and oriented. Skull films show a linear
fracture of the right temporal bone. He is at significant risk
for:
A.
scalp hematoma.
B.
subdural hematoma.
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C.
epidural hematoma.
D.
intracerebral hematoma. - Correct Answers ✅C. epidural
hematoma.
Linear fractures of the temporal bone frequently disrupt the
middle meningeal artery and cause epidural hematoma.
Patients with an epidural hematoma classically present with a
short period of unconsciousness followed by a lucid interval
and then rapid deterioration. An epidural hematoma is
usually caused by arterial bleeding.
A patient is admitted to the ICU after sustaining a concussion
and blunt abdominal trauma to the right upper quadrant in a
domestic dispute. The patient's vital signs are BP 145/86 mm
Hg, pulse 86 beats/min, respiration 15 breaths/min, and
temperature 98.8° F. The nurse is monitoring the patient's
bowel sounds, abdominal tenderness, and abdominal girth
frequently. Which of the following laboratory parameters is
especially important for the nurse to closely monitor for
bleeding in this patient?
A.
Platelet count
B.