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Exam (elaborations)

ACLS 2024 certification part 2 Assessment Of Patients guidelines

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Your assessment of the patient begins with:You are working in the radiology department as a registered nurse. A panicked secretary calls you to the waiting room where you arrive to find a middle-aged man lying supine on the floor. He appears cyanotic. His wife tells you that they were talking and he suddenly got a funny look on his face and collapsed. He is a diabetic but has no other medical conditions. He was here to have a painful ankle imaged. You instruct the secretary to call for the cardiac arrest team and to send the x-ray technician to retrieve the department defibrillator. 2)You determine that he is breathing agonal, about two times per minute. You are unsure if you feel a pulse or not. Your next step is to: 3) Compressions should be done: "depth and rate" 4)You perform 30 compressions being sure that the chest has complete recoil between each compression. Your next step is to: - immediately begin chest compressions 100-120 times per minute to a depth of between 2" and 2.4" (5-6cm). Provide two breaths; ensuring chest rise with each breath. Your assessment of the patient begins with:You are working in the radiology department as a registered nurse. A panicked secretary calls you to the waiting room where you arrive to find a middle-aged man lying supine on the floor. He appears cyanotic. His wife tells you that they were talking and he suddenly got a funny look on his face and collapsed. He is a diabetic but has no other medical conditions. He was here to have a painful ankle imaged. You instruct the secretary to call for the cardiac arrest team and to send the x-ray technician to retrieve the department defibrillator. 1) Your assessment of the patient begins with: 5)The x-ray technician arrives with the monitor/defibrillator and attaches it. The monitor reveals ventricular fibrillation. You should: - Evaluating level of consciousness, presence of normal breathing, and the presence or absence of a pulse Immediately defibrillate the patient using the energy level recommended by the defibrillator manufacturer. You are the charge nurse in the coronary care unit for the daylight shift. Upon arrival you find a middle age male with CPR in progress by the radiology staff. The monitor is in place and is showing ventricular fibrillation. The radiology nurse informs you that the patient suddenly collapsed while awaiting an x-ray. He has no history. She also informs you that the patient was just defibrillated using 150 joules just as you arrived. She is currently doing compressions that appear adequate. 1) The next step in the treatment of this patient (in addition to the continuation of high quality CPR) would be to: 2) An IV has been placed in the patient's arm. The first medication that should be administered is: 3) Following the administration of any medication, you should: 4)f the patient remains in ventricular fibrillation, the antiarrhythmic that should be administered is: - establish IO or IV access epinephrine 1mg IV Continue CPR for several cycles, followed by a rhythm check and defibrillation, if indicated. Amiodarone 300mg IV. Throughout the duration of the cardiac arrest, the compressor should be changed: Every two minutes. Every ten minutes. Whenever he/she says they cannot continue doing compressions. Every 30 seconds. - Every two minutes. Following the administration of any medication, you should: A) Ventilate the patient 4-5 times to increase oxygen levels so that the medication can work better. B) Medications are not administered during cardiac arrest. C) Stop CPR so that the medication can be circulated. D)Continue CPR for several cycles, followed by a rhythm check and defibrillation, if indicated. - Continue CPR for several cycles, followed by a rhythm check and defibrillation, if indicated. Administer atropine 0.5mg IV

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