NR 341 - Complex Adult Health final Actual Questions and Correct
Answers
Q1
Indication for arterial line placement?
Answer: Hemodynamic monitoring Multiple blood samples
Q2
What test must be preformed prior to an arterial line placement?
Answer: Allen's test
Q3
How often should a fast flush test be preformed?
Answer: Every 8 hours After blood draws
Q4
What are the most common sites for arterial line insertion?
Answer: Radial Femoral
Q5
Positioning for radial arterial line placement
Answer: 30-60 degrees of dorsiflexion with the aid of a roll of gauze and an armband
Q6
How often should the atrial line catheter be changed out?
Answer: Every 7 days
Q7
Causes of inaccuracy in arterial line readings
Answer: Air bubbles in the catheter system Failure to zero the transducer air-fluid interface
Q8
What is the pathology of afterload?
Answer: The pressure in which the heart must pump against in order to eject blood during systole
,Q9
Medications that reduce afterload/preload include?
Answer: Vasodilators
Q10
What is the pathology of preload?
Answer: The filling pressure of the heart at end of diastole
Q11
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
Q12
Systemic vascular resistance (SVR) is used for what calculations?
Answer: Blood pressure Blood flow
Q13
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
Q14
What is pulmonarartery occlusion pressure (PAOP)?
Answer: The pressure created by the volume of blood that remains in the left heart at end-diastole
Q15
Inotropic drugs mode of action
Answer: Negative inotropic drugs weaken the force of muscular contractions
Q16
Inotropic drug examples
Answer: Dobutamine Digoxin
, Q17
Vasodilator mode of actions
Answer: Relaxes the smooth muscles of the blood vessels opening them up
Q18
Vasodilator drug examples
Answer: CCBS
Q19
Kayexalate
Answer: Exchanges K+ ions for Na+ Excess K+ ions are fecally excreted
Q20
Calcium Gluconate
Answer: Prevents and treats cardiac toxicity related to increased K+ levels
Q21
What is the purpose of Continuous Renal Replacement Therapy (CRRT)?
Answer: Dialysis
Q22
S/SX of the oliguric phase of acute kidney injury (AKI)
Answer: <400 mL/24hr Increase BUN, Cr, uric acid, K, Mg
Q23
S/SX of the diuretic phase of acute kidney injury (AKI)
Answer: Urine output 1-3L/day Decreased K & Na
Q24
S/SX of the risk stage of acute kidney injury (AKI)
Answer: Cr >1.5xbaseline Urine output <0.5ml/kg/hr for 6+ hours
Q25
S/SX of the injury stage of acute kidney injury (AKI)
Answer: Cr >2xbaseline Urine output <0.5ml/kg/hr for 12+ hours
Answers
Q1
Indication for arterial line placement?
Answer: Hemodynamic monitoring Multiple blood samples
Q2
What test must be preformed prior to an arterial line placement?
Answer: Allen's test
Q3
How often should a fast flush test be preformed?
Answer: Every 8 hours After blood draws
Q4
What are the most common sites for arterial line insertion?
Answer: Radial Femoral
Q5
Positioning for radial arterial line placement
Answer: 30-60 degrees of dorsiflexion with the aid of a roll of gauze and an armband
Q6
How often should the atrial line catheter be changed out?
Answer: Every 7 days
Q7
Causes of inaccuracy in arterial line readings
Answer: Air bubbles in the catheter system Failure to zero the transducer air-fluid interface
Q8
What is the pathology of afterload?
Answer: The pressure in which the heart must pump against in order to eject blood during systole
,Q9
Medications that reduce afterload/preload include?
Answer: Vasodilators
Q10
What is the pathology of preload?
Answer: The filling pressure of the heart at end of diastole
Q11
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
Q12
Systemic vascular resistance (SVR) is used for what calculations?
Answer: Blood pressure Blood flow
Q13
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
Q14
What is pulmonarartery occlusion pressure (PAOP)?
Answer: The pressure created by the volume of blood that remains in the left heart at end-diastole
Q15
Inotropic drugs mode of action
Answer: Negative inotropic drugs weaken the force of muscular contractions
Q16
Inotropic drug examples
Answer: Dobutamine Digoxin
, Q17
Vasodilator mode of actions
Answer: Relaxes the smooth muscles of the blood vessels opening them up
Q18
Vasodilator drug examples
Answer: CCBS
Q19
Kayexalate
Answer: Exchanges K+ ions for Na+ Excess K+ ions are fecally excreted
Q20
Calcium Gluconate
Answer: Prevents and treats cardiac toxicity related to increased K+ levels
Q21
What is the purpose of Continuous Renal Replacement Therapy (CRRT)?
Answer: Dialysis
Q22
S/SX of the oliguric phase of acute kidney injury (AKI)
Answer: <400 mL/24hr Increase BUN, Cr, uric acid, K, Mg
Q23
S/SX of the diuretic phase of acute kidney injury (AKI)
Answer: Urine output 1-3L/day Decreased K & Na
Q24
S/SX of the risk stage of acute kidney injury (AKI)
Answer: Cr >1.5xbaseline Urine output <0.5ml/kg/hr for 6+ hours
Q25
S/SX of the injury stage of acute kidney injury (AKI)
Answer: Cr >2xbaseline Urine output <0.5ml/kg/hr for 12+ hours
