2 versions currently testing /complete 450
questions with detailed verified and well
researched answers (100% correct answers)
/already graded a+
VERSION A
What should you look out for with a patient on Nipride? -
....ANSWER...1. Watch for a sudden decrease in blood
pressure
2. Be sure to protect it from light
3. Look at the expiration date on the bag.
Which side should you turn a patient to provide better
cardiac perfusion? - ....ANSWER...Left side
In ventricular pacing, what does the waveform look like? -
....ANSWER...Ventricular pacing spikes followed by wide,
bizarre QRS complexes.
1
,Failure to pace - what it is and it's solution -
....ANSWER...The pace maker fails to initiate an electrical
stimulus when the pacemaker is due to fire. This is noted
by the absence of a pacer spike on the rhythm strip.
-No pacing spikes present at all
-Look for broken wire/lead/unit, or dead battery
2
,Failure to capture - what it is and how to correct it -
....ANSWER...Pacer delivers a stimulus at the appropriate
time but no depolarization occurs. No P or QRS wave
after pacer spike.
-Need to increase the mA
Failure to Sense (undersensing) - what it is and how to
correct it - ....ANSWER...Not sensing client's intrinsic
electrical activity.
*Results in pacing spikes that occur after or are unrelated
to the intrinsic rate*
1. *INCREASE sensitivity setting*
2. Replace pulse generator battery
3. Replace or reposition pacing lead.
If a pt goes into PULSELESS v-tach what do you do? -
....ANSWER...Give epinephrine, start cpr
If a pt goes into v-tach but has a pulse, what do you do? -
....ANSWER...Give amiodarone (150mg/10min)
3
, What do you worry about in a person in a-fib/a-flutter -
....ANSWER...the ventricular rate may be fast and they
could become hypotensive and pass out
What should you give if a patient has afib/flutter with
rapid ventricular rate (RVR)? - ....ANSWER...1.
Diltiazem
2. Amiodarone
3. Cardiovert
Definitive drug for fast a-fib/flutter -
....ANSWER...diltiazem (cardizem)
What is the first shock that we give to patients in V-fib? -
....ANSWER...150 (then 300)
As a nurse, in dealing with lines (swan/cvp/etc) we can
only not - ....ANSWER...we can only pull back
lines NOT advance
4