Med-Surg Exam 2 jersey college Exam Questions and
Correct Answers (100% COMPLETE ANSWERS)
ALREADY GRADED A+ | 100% satisfaction guaranteed
what is the ankle-brachial index used for? - ANSWER-the degree of stenosis in the extremities. Helps to
determine arterial blood flow
Rubor, when observed with the extremity in a dependent position could suggest what? - ANSWER-
severe peripheral arterial damage
Intermittent claudication is a complication of what? - ANSWER-peripheral arterial insufficiency
what are capillaries? - ANSWER-single layers blood vessels that allows for gas and nutrient exchange
heparin toxicity, prepare to administer? - ANSWER-protamine sulfate
for coumadin toxicity, prepare to administer? - ANSWER-vitamin K
proteins such as albumin create? - ANSWER-oncotic pressure which pulls from the Interstitial fluid into
the intravascular compartment to maintain volume
Hydrostatic pressure ? - ANSWER-moves fluid from intravascular compartment to the intercellular
compartment
Heparin and coumadin may be given together until the INR is therapeutic between what range? -
ANSWER-2-3 INR
compression stockings? - ANSWER-apply prior to the patient getting out of the bed and remove at night
key complication of anti-coagulant therapy? - ANSWER-bleeding
,education for anticoagulants? - ANSWER-take at the same time everyday
notify provider of any signs of bleeding
anticoagulants? - ANSWER-are given to prevent clots from getting larger but they do not dissolve clots
classic sign of deep vein thrombosis? - ANSWER-edema to the extremity
warmth
tenderness or fullness in the legs
education for the patient with a pacemaker? - ANSWER-how to take their pulse
avoid raising the hands over the head for 2 weeks or heavy lifting following insertion of a cardiac device
How often are pacemakers monitored? - ANSWER-every 4 weeks
Pacemaker malfunction could result in? - ANSWER-bradycardia and decrease heart rate
The SA node is observed on the EKG by what? - ANSWER-the P wave
On an EKG, U wave is sometimes seen in the setting of? - ANSWER-hypokalemia
On an EKG, the ST segment represents? - ANSWER-early ventricular repolarization
On an EKG, the T wave represents? - ANSWER-ventricular repolarization
On an EKG, the QRS represent? - ANSWER-ventricular depolarization
On an EKG, the P wave represent? - ANSWER-atrial depolarization
What should you known about Adenosine? - ANSWER-it is administered rapidly
,used to abort tachycardia in the setting of A-flutter or sinus tachycardia with hemodynamic instability
How to determine hemodynamics status? - ANSWER-obtain vital signs
V-fib causes? - ANSWER-ineffective quivering of the ventricles and is not compatible with life
Priority action in the setting of dysrhythmias is to? - ANSWER-maintain cardiac output
tx choice for unconscious patients with pulseless ventricular tachycardia? - ANSWER-defibrillation
what could contribute to PVC? - ANSWER-caffeine
alcohol
nicotine
signs that an aneurysm has ruptured? - ANSWER-severe back pain or abdominal pain.
falling blood pressure
decrease in the hematocrit
what is A-fib? - ANSWER-an irregular rhythm that decreases stroke volume and increase the risk for
cerebral vascular accident and premature death
what is ventricular tachycardia? - ANSWER-three or more continuous premature ventricular contractions
at a rate of more than 100 bpm
The medication given for Sinus Bradycardia and why? - ANSWER-Atropine(anticholinergic) to block vagal
stimulation and to increase heart rate
impaired cardiac conduction contributes to? - ANSWER-dysrhythmias
, how to assess the heart rate on an EKG strip? - ANSWER-count r-r intervals in 6 seconds and times it by
10
a decrease in cardiac output may result in? - ANSWER-dizziness
fatigue
chest pain
palpitations
Priority action for an aneurysm? - ANSWER-controlling the blood pressure
what blood test is used to screed for pulmonary embolism? - ANSWER-d-dimer assay
it detects if clotting or fibrinolysis is occuring
clinical manifestations of pulmonary embolism? - ANSWER-chest pain
cough
dyspnea
hypoxemia
tachycardia
tachypnea
petechia
restlessness
What to do in a cardiopulmonary resuscitation? - ANSWER-recognition of unresponsiveness
activation of emergency response team
assessment of carotid pulse
chest compressions, and then 2 breaths every 30 compressions
do this all while waiting on the defibrillator
Provide what % of oxygen during cardiopulmonary resuscitation? - ANSWER-100 %
Correct Answers (100% COMPLETE ANSWERS)
ALREADY GRADED A+ | 100% satisfaction guaranteed
what is the ankle-brachial index used for? - ANSWER-the degree of stenosis in the extremities. Helps to
determine arterial blood flow
Rubor, when observed with the extremity in a dependent position could suggest what? - ANSWER-
severe peripheral arterial damage
Intermittent claudication is a complication of what? - ANSWER-peripheral arterial insufficiency
what are capillaries? - ANSWER-single layers blood vessels that allows for gas and nutrient exchange
heparin toxicity, prepare to administer? - ANSWER-protamine sulfate
for coumadin toxicity, prepare to administer? - ANSWER-vitamin K
proteins such as albumin create? - ANSWER-oncotic pressure which pulls from the Interstitial fluid into
the intravascular compartment to maintain volume
Hydrostatic pressure ? - ANSWER-moves fluid from intravascular compartment to the intercellular
compartment
Heparin and coumadin may be given together until the INR is therapeutic between what range? -
ANSWER-2-3 INR
compression stockings? - ANSWER-apply prior to the patient getting out of the bed and remove at night
key complication of anti-coagulant therapy? - ANSWER-bleeding
,education for anticoagulants? - ANSWER-take at the same time everyday
notify provider of any signs of bleeding
anticoagulants? - ANSWER-are given to prevent clots from getting larger but they do not dissolve clots
classic sign of deep vein thrombosis? - ANSWER-edema to the extremity
warmth
tenderness or fullness in the legs
education for the patient with a pacemaker? - ANSWER-how to take their pulse
avoid raising the hands over the head for 2 weeks or heavy lifting following insertion of a cardiac device
How often are pacemakers monitored? - ANSWER-every 4 weeks
Pacemaker malfunction could result in? - ANSWER-bradycardia and decrease heart rate
The SA node is observed on the EKG by what? - ANSWER-the P wave
On an EKG, U wave is sometimes seen in the setting of? - ANSWER-hypokalemia
On an EKG, the ST segment represents? - ANSWER-early ventricular repolarization
On an EKG, the T wave represents? - ANSWER-ventricular repolarization
On an EKG, the QRS represent? - ANSWER-ventricular depolarization
On an EKG, the P wave represent? - ANSWER-atrial depolarization
What should you known about Adenosine? - ANSWER-it is administered rapidly
,used to abort tachycardia in the setting of A-flutter or sinus tachycardia with hemodynamic instability
How to determine hemodynamics status? - ANSWER-obtain vital signs
V-fib causes? - ANSWER-ineffective quivering of the ventricles and is not compatible with life
Priority action in the setting of dysrhythmias is to? - ANSWER-maintain cardiac output
tx choice for unconscious patients with pulseless ventricular tachycardia? - ANSWER-defibrillation
what could contribute to PVC? - ANSWER-caffeine
alcohol
nicotine
signs that an aneurysm has ruptured? - ANSWER-severe back pain or abdominal pain.
falling blood pressure
decrease in the hematocrit
what is A-fib? - ANSWER-an irregular rhythm that decreases stroke volume and increase the risk for
cerebral vascular accident and premature death
what is ventricular tachycardia? - ANSWER-three or more continuous premature ventricular contractions
at a rate of more than 100 bpm
The medication given for Sinus Bradycardia and why? - ANSWER-Atropine(anticholinergic) to block vagal
stimulation and to increase heart rate
impaired cardiac conduction contributes to? - ANSWER-dysrhythmias
, how to assess the heart rate on an EKG strip? - ANSWER-count r-r intervals in 6 seconds and times it by
10
a decrease in cardiac output may result in? - ANSWER-dizziness
fatigue
chest pain
palpitations
Priority action for an aneurysm? - ANSWER-controlling the blood pressure
what blood test is used to screed for pulmonary embolism? - ANSWER-d-dimer assay
it detects if clotting or fibrinolysis is occuring
clinical manifestations of pulmonary embolism? - ANSWER-chest pain
cough
dyspnea
hypoxemia
tachycardia
tachypnea
petechia
restlessness
What to do in a cardiopulmonary resuscitation? - ANSWER-recognition of unresponsiveness
activation of emergency response team
assessment of carotid pulse
chest compressions, and then 2 breaths every 30 compressions
do this all while waiting on the defibrillator
Provide what % of oxygen during cardiopulmonary resuscitation? - ANSWER-100 %
