NURS 114 - FINAL EXAM QUESTIONS
WITH ACTUAL SOLUTIONS !!!
characteristics mmof mmA mmfib mm- mmAnswer mmNo mmP mmwave; mmirregular
mmrhythm, mmirregular mmpattern; mmvery mmfast mmrate mm(350-600 mmatrial
mmbeats/minute)
main mmfn mmof mmDMARDs mmand mm2 mmtypes mm- mmAnswer mmdecrease
mminflammation
methotrexate mmand mmhydroxychloroquine
risks/sxs mmassociated mmwith mmA mmfib mm- mmAnswer mmlow mmCO; mmarf
mmthrombus mm& mmstroke mmbc mmheart mmis mmquivering mmnot mmactually mmpumping
drugs mmfor mmA mmfib mm- mmAnswer mmAmiodarone mm- mmregulates mmrhythm mm(Ami
mmwon't mmturn mmOne mmunless mmwe mmregulate mmher mmrhythm)
Digoxin mm(do mmnot mmgive mmif mmHR mm< mm60) mm- mmregulates mmrhythm mm(A
mmfIb mm- mmdIg)
Anti-coag mm(warfarin, mmheparin) mm- mmdt mmthrombus mmrisk
CCB mm(-pines, mmdiltiazem, mmverapamil) mm- mmrelaxes mmthe mm
heart mmmuscle
B-blockers(-lols) mm- mmdecrease mmHR
whats mmDig mmtoxicity mm- mmAnswer mmanorexia, mmNV, mmfatigue, mmHA, mmvisual
mmchanges, mmdepression mmmonitor mmK mmwhile mmgiving mmDig
What mmlevel mmshould mmyou mmmonitor mmwhile mmtaking mmDig mm- mmAnswer
mmpotassium
how mmdoes mmtoo mmmuch mmpotassium mmeffect mmDig mm- mmAnswer mmToo
mmmuch mmpotassium mmcan mmcause mmdigoxin mmnot mmto mmbe
mmeffective/therapeutic
how mmdoes mmtoo mmlittle mmpotassium mmeffect mmDig mm- mmAnswer mmToo mmlittle
mmpotassium mmcan mmcause mmdigoxin mmto mmbe mmTOO mmeffective mmcausing
mmtoxicity
,Sx mmfor mma mmfib mm- mmAnswer mmCardioversion, mmablation
how mmcan mmyou mmdescribe mmA mmflutter mm- mmAnswer mmSawtooth-shaped
mmflutter mmwaves
what mmis mmA mmflutter mmcharacterized mmby mm- mmAnswer mmNo mmP mmwaves;
mmregular mmpattern, mmirregular mmrhythm; mmvery mmfast mmatrial mmrate
sxs/ mmrisks mmwhen mmyou mmhave mma mmflutter mm- mmAnswer mmLow mmCO; mmarf
mmthrombus mm& mmstroke
drugs mmfor mma mmflutter mm- mmAnswer mmAmiodarone mm- mmto mmmaintain mmnL
mmrhythm mmi mmwant mmami mmto mmstay mm1 mmforever mm
Anti-coag mm(warfarin, mmheparin) mm- mmdt mmthrombus mmrisk
CCB mm(-pines, mmdiltiazem) mm- mmrelaxes mmthe mmheart mmmuscle
B-blockers(-lols) mm- mmdecrease mmHR
sx mmfor mma mmflutter mm- mmAnswer mmCardioversion, mmablation
how mmwould mmyou mmdescribe mmSVT mm- mmAnswer mmregular mmrhythm, mmhigh
mmrate mm(150-220 mmbpm)
basically mmtachycardia, mmjust mmrate mmabove mm150
sxs mmof mmhaving mmSVT mm- mmAnswer mmLow mmCO; mmlow mmBP; mmCP mm&
mmdyspnea
drugs mmfor mmSVT mm- mmAnswer mm#1: mmIV mmadenosine mm- mmreduce mmHR
mm(give mmrapidly, mmfollow mmwith mmflush) mm(drink mmgator*ADE* mmto mmcool
mmdown mmand mm*decrease mmHR* mm.......or.... mmI mmwant mmto mmslow mmdown
mmon mmmy mmsinning)
Digoxin mm- mmdecreases mmHR mm(monitor mmpotassium)
Anti-coag mm(warfarin, mmheparin) mm- mmdt mmthrombus mmrisk
CCB mm(-pines, mmdiltiazem) mm- mmrelaxes mmthe mmheart mmmuscle
B-blockers(-lols) mm- mmdecrease mmHR
how mmcan mmyou mmdescribe mmbradycardia mm- mmAnswer mmP mmwave mmpresent,
mmregular mmrhythm, mmslow mmrate mm(< mm60 mmbpm)
, what mmshould mmyou mmdo mmFIRST mmwith mma mmbrady mmpt? mm- mmAnswer mmASK
mmif mmthis mmis mmnormal mmfor mmthem.. mmif mmit mmis mmand mmthey mmare
mmasymptomatic mmtx mmisnt mmneeded
sxs mmof mmbradycardia mm- mmAnswer mmFatigue, mmdizzy, mmCP, mmsyncope,
mmconfusion, mmSOB, mmlow mmBP, mmpale/cool mmskin
drugs mmfor mmbradycardia mm- mmAnswer mmIF mmSYMPTOMATIC... mmIV mmaTrOPine
mm(causes mmHR mmto mmget mmto mmthe mm*TOP*)
describe mmtachycardia mm- mmAnswer mmP mmwave mmpresent, mmregular mmrhythm,
mmfast mmrate mm(101-149 mmbpm)
what mmcan mmcause mmtachycardia mm- mmAnswer mmstressors, mmexercise, mmfever,
mmpain, mmlow mmBP, mmlow mmvolume, mmlow mmO2, mmMI, mmHF, mmfear
sxs mmof mmtachycardia mm- mmAnswer mmDizzy, mmSOB, mmlow mmBP, mmCP mm→
mmlike mmwhen mmyou're mmrunning mmoutside mmand mmit's mmhot
what mmthe mmfirst mmthing mmyou mmshould mmdo mmfor mma mmtachycardic mmpt mm-
mmAnswer mmTREAT mmTHE mmCAUSE mm
ex. mmif mmthey mmhave mmfever mm- mmantipyretic mm
if mmtheyre mmin mmpain- mmanalgesic
drugs mmfor mmtachycardia mm- mmAnswer mmIV mmadenosine mm- mmreduce mmHR
mm(give mmrapidly, mmfollow mmwith mmflush) mm(drink mmgator*ADE* mmto mmcool
mmdown mmand mm*decrease mmHR*)
CCB mm(-pines, mmdiltiazem) mm- mmrelaxes mmthe mmheart mmmuscle
B-blockers(-lols) mm- mmdecrease mmHR
whats mmnormal mmsinus mmlook mmlike mm- mmAnswer mmP mmwave mmpresent,
mmregular mmrhythm, mmregular mmrate mm(60-100 mmbpm)
rule mmof mmthumb mmfor mmdysrythmias mm- mmAnswer mmtreat mmwhat mmthe mmpt
mmpresents mmw mmnot mmthe mmmonitor
Immediate mmnursing mminterventions mmfor mmsymptomatic mmdysrhythmias mm-
mmAnswer mm#1: mmABCs mm(AIRWAY mmAIRWAY mmAIRWAY)
O2 mmvia mmcannula mmor mmnon-rebreather
12-lead mmEKG
IV mmaccess
WITH ACTUAL SOLUTIONS !!!
characteristics mmof mmA mmfib mm- mmAnswer mmNo mmP mmwave; mmirregular
mmrhythm, mmirregular mmpattern; mmvery mmfast mmrate mm(350-600 mmatrial
mmbeats/minute)
main mmfn mmof mmDMARDs mmand mm2 mmtypes mm- mmAnswer mmdecrease
mminflammation
methotrexate mmand mmhydroxychloroquine
risks/sxs mmassociated mmwith mmA mmfib mm- mmAnswer mmlow mmCO; mmarf
mmthrombus mm& mmstroke mmbc mmheart mmis mmquivering mmnot mmactually mmpumping
drugs mmfor mmA mmfib mm- mmAnswer mmAmiodarone mm- mmregulates mmrhythm mm(Ami
mmwon't mmturn mmOne mmunless mmwe mmregulate mmher mmrhythm)
Digoxin mm(do mmnot mmgive mmif mmHR mm< mm60) mm- mmregulates mmrhythm mm(A
mmfIb mm- mmdIg)
Anti-coag mm(warfarin, mmheparin) mm- mmdt mmthrombus mmrisk
CCB mm(-pines, mmdiltiazem, mmverapamil) mm- mmrelaxes mmthe mm
heart mmmuscle
B-blockers(-lols) mm- mmdecrease mmHR
whats mmDig mmtoxicity mm- mmAnswer mmanorexia, mmNV, mmfatigue, mmHA, mmvisual
mmchanges, mmdepression mmmonitor mmK mmwhile mmgiving mmDig
What mmlevel mmshould mmyou mmmonitor mmwhile mmtaking mmDig mm- mmAnswer
mmpotassium
how mmdoes mmtoo mmmuch mmpotassium mmeffect mmDig mm- mmAnswer mmToo
mmmuch mmpotassium mmcan mmcause mmdigoxin mmnot mmto mmbe
mmeffective/therapeutic
how mmdoes mmtoo mmlittle mmpotassium mmeffect mmDig mm- mmAnswer mmToo mmlittle
mmpotassium mmcan mmcause mmdigoxin mmto mmbe mmTOO mmeffective mmcausing
mmtoxicity
,Sx mmfor mma mmfib mm- mmAnswer mmCardioversion, mmablation
how mmcan mmyou mmdescribe mmA mmflutter mm- mmAnswer mmSawtooth-shaped
mmflutter mmwaves
what mmis mmA mmflutter mmcharacterized mmby mm- mmAnswer mmNo mmP mmwaves;
mmregular mmpattern, mmirregular mmrhythm; mmvery mmfast mmatrial mmrate
sxs/ mmrisks mmwhen mmyou mmhave mma mmflutter mm- mmAnswer mmLow mmCO; mmarf
mmthrombus mm& mmstroke
drugs mmfor mma mmflutter mm- mmAnswer mmAmiodarone mm- mmto mmmaintain mmnL
mmrhythm mmi mmwant mmami mmto mmstay mm1 mmforever mm
Anti-coag mm(warfarin, mmheparin) mm- mmdt mmthrombus mmrisk
CCB mm(-pines, mmdiltiazem) mm- mmrelaxes mmthe mmheart mmmuscle
B-blockers(-lols) mm- mmdecrease mmHR
sx mmfor mma mmflutter mm- mmAnswer mmCardioversion, mmablation
how mmwould mmyou mmdescribe mmSVT mm- mmAnswer mmregular mmrhythm, mmhigh
mmrate mm(150-220 mmbpm)
basically mmtachycardia, mmjust mmrate mmabove mm150
sxs mmof mmhaving mmSVT mm- mmAnswer mmLow mmCO; mmlow mmBP; mmCP mm&
mmdyspnea
drugs mmfor mmSVT mm- mmAnswer mm#1: mmIV mmadenosine mm- mmreduce mmHR
mm(give mmrapidly, mmfollow mmwith mmflush) mm(drink mmgator*ADE* mmto mmcool
mmdown mmand mm*decrease mmHR* mm.......or.... mmI mmwant mmto mmslow mmdown
mmon mmmy mmsinning)
Digoxin mm- mmdecreases mmHR mm(monitor mmpotassium)
Anti-coag mm(warfarin, mmheparin) mm- mmdt mmthrombus mmrisk
CCB mm(-pines, mmdiltiazem) mm- mmrelaxes mmthe mmheart mmmuscle
B-blockers(-lols) mm- mmdecrease mmHR
how mmcan mmyou mmdescribe mmbradycardia mm- mmAnswer mmP mmwave mmpresent,
mmregular mmrhythm, mmslow mmrate mm(< mm60 mmbpm)
, what mmshould mmyou mmdo mmFIRST mmwith mma mmbrady mmpt? mm- mmAnswer mmASK
mmif mmthis mmis mmnormal mmfor mmthem.. mmif mmit mmis mmand mmthey mmare
mmasymptomatic mmtx mmisnt mmneeded
sxs mmof mmbradycardia mm- mmAnswer mmFatigue, mmdizzy, mmCP, mmsyncope,
mmconfusion, mmSOB, mmlow mmBP, mmpale/cool mmskin
drugs mmfor mmbradycardia mm- mmAnswer mmIF mmSYMPTOMATIC... mmIV mmaTrOPine
mm(causes mmHR mmto mmget mmto mmthe mm*TOP*)
describe mmtachycardia mm- mmAnswer mmP mmwave mmpresent, mmregular mmrhythm,
mmfast mmrate mm(101-149 mmbpm)
what mmcan mmcause mmtachycardia mm- mmAnswer mmstressors, mmexercise, mmfever,
mmpain, mmlow mmBP, mmlow mmvolume, mmlow mmO2, mmMI, mmHF, mmfear
sxs mmof mmtachycardia mm- mmAnswer mmDizzy, mmSOB, mmlow mmBP, mmCP mm→
mmlike mmwhen mmyou're mmrunning mmoutside mmand mmit's mmhot
what mmthe mmfirst mmthing mmyou mmshould mmdo mmfor mma mmtachycardic mmpt mm-
mmAnswer mmTREAT mmTHE mmCAUSE mm
ex. mmif mmthey mmhave mmfever mm- mmantipyretic mm
if mmtheyre mmin mmpain- mmanalgesic
drugs mmfor mmtachycardia mm- mmAnswer mmIV mmadenosine mm- mmreduce mmHR
mm(give mmrapidly, mmfollow mmwith mmflush) mm(drink mmgator*ADE* mmto mmcool
mmdown mmand mm*decrease mmHR*)
CCB mm(-pines, mmdiltiazem) mm- mmrelaxes mmthe mmheart mmmuscle
B-blockers(-lols) mm- mmdecrease mmHR
whats mmnormal mmsinus mmlook mmlike mm- mmAnswer mmP mmwave mmpresent,
mmregular mmrhythm, mmregular mmrate mm(60-100 mmbpm)
rule mmof mmthumb mmfor mmdysrythmias mm- mmAnswer mmtreat mmwhat mmthe mmpt
mmpresents mmw mmnot mmthe mmmonitor
Immediate mmnursing mminterventions mmfor mmsymptomatic mmdysrhythmias mm-
mmAnswer mm#1: mmABCs mm(AIRWAY mmAIRWAY mmAIRWAY)
O2 mmvia mmcannula mmor mmnon-rebreather
12-lead mmEKG
IV mmaccess
