1 | P a g e | © copyright 2024/2025 | Grade A+
Nur2115 Exam 2 Questions & 100%
Correct Answers
how to calculate cardiac output
✓ :~~ CO = SV x HR
Mean Arterial Pressure (MAP)
✓ :~~ MAP= SBP + 2(DBP) / 3
✓ Normal= 70-105mmHg
✓ Needs to be >65mmHg to perfuse ONLY the vital organs. THIS IS NOT
NORMAL
✓ Use A line to measure
Pulmonary Artery Catheter Pressures
✓ :~~ PA pressures- (distal port)
✓ PAS= 15-30mmHg
✓ PAD 8-15mmHg
SIRS
✓ :~~ systemic inflammatory response syndrome.
does not have to be associated with an infection.
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
SIRS criteria
✓ :~~ need 2 or more s/s
-temp >100.4, temp <96.8
-HR >90bpm
-RR >20 and /or PCO2 <32 (rapid breathing)
-WBC >12,000 or <4,000
WOTF is not criteria s/s for dx SIRS
1. RR > 20
2. HR <60
3. Temp >100.4
4. PaCO2 <32
✓ :~~ 2. HR <60 ANSWER
DIC
✓ :~~ disseminated intravascular coagulation
DEATH IS COMING
NO PERFUSION
They will have an increased D Dimer
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
DIC clinical presentation
✓ :~~ Acute bleeding from multiple sites. Bleeding from everywhere. Organ
dysfunction, Thrombosis.
DIC nursing management
✓ :~~ 1. Occult blood testing of all fluids
2. avoid puncturing the pt.
3. Apply pressure 10-15 MIN for arterial puncture. 5MIN for venous puncture.
4. paper tape
5. No BP cuff. NEED AN A LINE
6. No rectal temp
7. gentle personal care
8. dec. pressure points
9. monitor pupils for changes- Could be cerebral bleed.
WOTF lab value is indicative of DIC
1. dec PTT
2. inc Platelet
3. dec INR
4. inc FDP (fibrin degradation product)
Master01 | September, 2024/2025 | Latest update
, 4 | P a g e | © copyright 2024/2025 | Grade A+
✓ :~~ 4. inc FDP (fibrin degradation product) ANSWER
hypovolemic shock
✓ :~~ TANK PROBLEM
inadequate fluid volume in the space
cardiogenic shock
✓ :~~ PUMP PROBLEM
Coronary- problem with heart itself, cant move blood.
Non-Coronary- physical obstruction into or out of heart
circulatory (distributive) shock
✓ :~~ PIPE PROBLEM ---> EXTREME VASODILATION
septic shock- inflammatory response due to invasion of organism
anaphylactic- antigen-antibody response
shock initially
✓ :~~ Dont see anything at first. will just have a lactic acid buildup.
Compensatory stage
Master01 | September, 2024/2025 | Latest update
Nur2115 Exam 2 Questions & 100%
Correct Answers
how to calculate cardiac output
✓ :~~ CO = SV x HR
Mean Arterial Pressure (MAP)
✓ :~~ MAP= SBP + 2(DBP) / 3
✓ Normal= 70-105mmHg
✓ Needs to be >65mmHg to perfuse ONLY the vital organs. THIS IS NOT
NORMAL
✓ Use A line to measure
Pulmonary Artery Catheter Pressures
✓ :~~ PA pressures- (distal port)
✓ PAS= 15-30mmHg
✓ PAD 8-15mmHg
SIRS
✓ :~~ systemic inflammatory response syndrome.
does not have to be associated with an infection.
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
SIRS criteria
✓ :~~ need 2 or more s/s
-temp >100.4, temp <96.8
-HR >90bpm
-RR >20 and /or PCO2 <32 (rapid breathing)
-WBC >12,000 or <4,000
WOTF is not criteria s/s for dx SIRS
1. RR > 20
2. HR <60
3. Temp >100.4
4. PaCO2 <32
✓ :~~ 2. HR <60 ANSWER
DIC
✓ :~~ disseminated intravascular coagulation
DEATH IS COMING
NO PERFUSION
They will have an increased D Dimer
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
DIC clinical presentation
✓ :~~ Acute bleeding from multiple sites. Bleeding from everywhere. Organ
dysfunction, Thrombosis.
DIC nursing management
✓ :~~ 1. Occult blood testing of all fluids
2. avoid puncturing the pt.
3. Apply pressure 10-15 MIN for arterial puncture. 5MIN for venous puncture.
4. paper tape
5. No BP cuff. NEED AN A LINE
6. No rectal temp
7. gentle personal care
8. dec. pressure points
9. monitor pupils for changes- Could be cerebral bleed.
WOTF lab value is indicative of DIC
1. dec PTT
2. inc Platelet
3. dec INR
4. inc FDP (fibrin degradation product)
Master01 | September, 2024/2025 | Latest update
, 4 | P a g e | © copyright 2024/2025 | Grade A+
✓ :~~ 4. inc FDP (fibrin degradation product) ANSWER
hypovolemic shock
✓ :~~ TANK PROBLEM
inadequate fluid volume in the space
cardiogenic shock
✓ :~~ PUMP PROBLEM
Coronary- problem with heart itself, cant move blood.
Non-Coronary- physical obstruction into or out of heart
circulatory (distributive) shock
✓ :~~ PIPE PROBLEM ---> EXTREME VASODILATION
septic shock- inflammatory response due to invasion of organism
anaphylactic- antigen-antibody response
shock initially
✓ :~~ Dont see anything at first. will just have a lactic acid buildup.
Compensatory stage
Master01 | September, 2024/2025 | Latest update
