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CCRN QUESTIONS & CORRECTLY VERIFIED ANSWERS, NEWEST UPDATED SOLUTION

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CCRN QUESTIONS & CORRECTLY VERIFIED ANSWERS, NEWEST UPDATED SOLUTION

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CCRN QUESTIONS & CORRECTLY VERIFIED ANSWERS, NEWEST UPDATED SOLUTION




TITLE CCRN QUESTIONS &
CORRECTLY
VERIFIED ANSWERS,
NEWEST UPDATED
SOLUTION




LIBROS
@LOS LIBROS

,A patient with hyponatremia would need what? - ANSWER ✔ - Help maintaining a safe environment.
HypoNa impairs judgment, and causes confusion.



Peritoneal dialysis works on the principles of both? - ANSWER ✔ - Diffusion and osmosis.



HHNS leads to what? - ANSWER ✔ - Large fluid deficits and may require multiple liters of fluid, which is
determined by the patient's level of dehydration and hyperosmolality.



What parameters are consistent with Pulsus Paradoxes? - ANSWER ✔ - Decrease in SBP>10 during
inspiration.



Before administering rtPA what must happen? - ANSWER ✔ - Lower the BP to at least 185/110. An
elevated BP prior to rtPA can cause hemorrhage.



Ibutilide can cause what? - ANSWER ✔ - Torsade’s



A person with dissecting AAA would receive what drug? - ANSWER ✔ - PRN IV narcotic analgesia - BP
management is a priority in the care of a patient with a dissecting AAA. Pain is the primary driver of
HTN.



Autonomic hyperreflexia is what? - ANSWER ✔ - This disorder is seen with spinal injuries occurring
above the T6 spine.



Cause of autonomic hyperreflexia? - ANSWER ✔ - Bladder obstruction, constipation, pressure ulcers, and
pain. Usually when the noxious stimulus is identified and removed, the symptoms resolve. Checking
urinary catheter for obstruction is the most appropriate next action.



MEDS for asymptomatic left ventricular systolic dysfunction? - ANSWER ✔ - ACE or (ARB), beta-blockers
and statins for all patients with a history of MI and for all patients with a reduced ejection fraction.




1
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, What is the Z point technique? - ANSWER ✔ - is a method used to estimate ventricular end diastolic
pressure. It is taken just before the closure of the mitral valve and is especially useful when an A wave
does not exist on the PAOP tracing such as in atrial fib.



Ascites position for relief? - ANSWER ✔ - Place pt on left side.



DIC lab values? - ANSWER ✔ - Fibrinogen decreased

FSP elevated

Platelets decreased

D-dimer elevated



Decreased Albumin is an indicator of what? - ANSWER ✔ - Protein deficiency and poor nutrition, which
are major contributors to poor wound healing.



A continuous infusion of Lorazepam for greater than 3 days can lead to an accumulation of? - ANSWER
✔ - Propylene glycol.



Inability to communicate in full sentences may be a sign of what? - ANSWER ✔ - Severity of asthma (high
risk)



Management of high ICP includes? - ANSWER ✔ - Osmotic diuretics, hypertonic saline &
antihypertensive.



Causes increased left atrial pressure during atrial contraction - results in a larger than normal A wave on
the PAOP tracing? - ANSWER ✔ - Mitral Stenosis



Pulmonary htn will result in elevated PA pressures but have no impact on? - ANSWER ✔ - PAOP



Elevated urine osmolality; decreased serum osmolality; decreased serum sodium? - ANSWER ✔ - SIADH




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