- Study guides, Class notes & Summaries

Standards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - Answer guidelines; establish goals; assess The _________ of patients' illness makes their care the top priority of critical care nurses. - Answer acuteness What are two issues that critical care nurses face because of the fast-paced environment, critical nature of illness, and issues surrounding life and death patients...

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42 pages

Written in 2022/2023

Grade A+

BillRanker

While monitoring a patient who has fluid overload, which assessment is most concerning to the nurse? A.Bounding pulse B.Neck vein distention C.Pitting edema in the feet Presence of crackles in the lungs - Answer ANS: D Fluid overload may lead to pulmonary edema and heart failure. Any patient with fluid overload, regardless of age, is at risk for these complications. Older adults or those with cardiac problems, kidney problems, pulmonary problems, or liver problems are at greater risk...

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17 pages

Written in 2022/2023

Grade A+

BillRanker

Woman should have the choice for yearly mammograms if they wish at what age? - Answer 40-44 age for when woman should get mammograms yearly - Answer 45-54 age for mammograms every 2 years - Answer 55+ At what age should woman and men begin colon testing? - Answer 50 how often should colonoscopys be done? - Answer 10 years When should cervical cancer testing start? - Answer age 21 What age should paps be done every 3 years - Answer 21-29 What ages should woman h...

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11 pages

Written in 2022/2023

Grade A+

BillRanker

Oxygen toxicity signs and symptoms - Answer substernal discomfort, paresthesias, dyspnea, restlessness, fatigue, malaise, progressive respiratory difficulty, refractory hypoxemia, alveolar atelectasis, and alveolar infiltrates evident on chest x-rays. Manifestations similar to ARDS. oxygen toxicity - Answer A condition of excessive oxygen consumption resulting in cellular and tissue damage. oxygen delivery methods - Answer Low flow: nasal cannula, nasal catheter, simple mask, partial...

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6 pages

Written in 2022/2023

Grade A+

BillRanker

atrial fibrillation - Answer rapid, random, ineffective contractions of the atrium Atrial Flutter - Answer irregular beating of the atria; often described as "a-flutter with 2 to 1 block or 3 to 1 block" normal sinus rhythm - Answer heart rhythm originating in the sinoatrial node with a rate in patients at rest of 60 to 100 beats per minute P wave - Answer atrial depolarization QRS complex - Answer ventricular depolarization PR interval - Answer delay of AV node to a...

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19 pages

Written in 2022/2023

Grade A+

BillRanker

Aneurysm - Answer Permanent dilation of an artery to at least two times it's normal diameter Most common artery for aneurysm - Answer Abdominal aorta between the renal arteries and the aortic bifurcation Saccular aneurysm - Answer our pouching --> specific portion of the vessel Fusiform aneurysm - Answer Affecting the circumference of the artery Aortic dissection - Answer Tear in the lining of the aorta that causes blood to accumulate within the aortic wall Aneurysm ...

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20 pages

Written in 2022/2023

Grade A+

BillRanker

What is preload? - Answer the volume/pressure of the blood returning and filling the heart What is afterload? - Answer the pressure the left ventricle must overcome to eject its blood (more resistance=more afterload) Decreases preload: inhibits Na+ reabsorption thereby promoting fluid loss For HTN, HF, cardiogenic shock SE: hypotension, hypokalemia, ototoxicity Teaching: watch for dizziness when standing, eat foods with K+ - Answer K+ wasting diuretics (furosemide) Blocks...

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25 pages

Written in 2022/2023

Grade A+

BillRanker

Angiotensin-Converting Enzyme Inhibitors (ACE Inhibitors) Drugs - Answer Enalapril Lisinopril Catopril (end in "PRIL") ACE Inhibitor Actions and Effects - Answer Decrease after load and BP Inhibits the enzyme that converts angitensin I to angiotensin II Vasodilation Prevents effects of aldosterone ACE Inhibitor Indications - Answer HTN Prevents remodeling Post MI Heart failure What to monitor for when a person is on ACE Inhibitors - Answer Hypotension (especially ...

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34 pages

Written in 2022/2023

Grade A+

BillRanker

Characteristics of Normal Sinus - Answer Rate: 60-100 Regular Present and upright P waves QRS present and upright <= to 0.10sec 1:1 P:QRS PR interval is <=0.20sec Characteristics of sinus tach - Answer Rate 100-150 characteristics of sinus brady - Answer Rate <60 Characteristics of Supra Ventricular tach (SVT) - Answer Rate 151-200... May not be able to see P wave due to fast rate Characteristics of Atrial Flutter - Answer Rate 60-150 Regular or irregular P...

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14 pages

Written in 2022/2023

Grade A+

BillRanker

When collecting an ABG what test is performed before using the radial artery - Answer Allen's Test, we want to make sure the ulnar artery has proper circulation before using the radial artery. What are the normal values for pH, PCO2, HCO3 - Answer pH: 7.35 - 7.45 PCO2: 35 - 45 HCO3: 22 - 26 Is CO2 an acid or base - Answer CO2 is an acid What system helps control CO2 - Answer Lungs typically remove CO2, KIdneys may use HCO3 to absorb excess CO2 Is HCO3 and acid or base - An...

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21 pages

Written in 2022/2023

Grade A+

BillRanker

Most SCI occur from what? - Answer Bruising of spinal cord Loss of blood flow (ischemia) to the cord Five mechanisms of injury (SCI) - Answer Hyperflexion Hyperextension Vertebral Compression Rotation Penetrating Injuries Hyperflexion - Answer Head is accelerated FORWARD, compression of the cord as a result of fracture fragments or dislocation of the vertebral bodies Hyperextension - Answer Head goes BACK, spinal cord stretched or distorted, chin is struck (rear-end MVA, mi...

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38 pages

Written in 2022/2023

Grade A+

BillRanker

Which clinical manifestations are most likely to be seen in a client with diabetes mellitus? - Answer Fatigue, Excessive thirst, Increased urine output The RN is teaching a client with diabetes mellitus about the diet to be followed for maintenance of the disease. Which statement made by the client indicates the need for further teaching? - Answer I should decrease the intake of foods rich in fiber The presence of which traits indicate that a client is at risk for metabolic syndrome? -...

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6 pages

Written in 2022/2023

Grade A+

BillRanker

Chest tube insertion site monitoring - Answer check for pain, redness, infection & subcutaneous crepitus Chest tube bedside equipment - Answer occlusive dressing, sterile water, and two enclosed hemostat clamps. AT ALL TIMES Expected findings in a chest tube assessment - Answer gentle constant bubbling in the suction control chamber, rise and fall of water in the water seal chamber with inspiration and expiration, drainage system below chest and in upright position FIRST action...

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13 pages

Written in 2022/2023

Grade A+

BillRanker

How would you triage in a disaster? - Answer "Do greatest good for greatest number" Regular triage - Answer Critical to unstable What 3 things do you assess for START triage - Answer Ventilation Perfusion Mental Status 30-2-can do How much time triaging victim? - Answer 60 seconds/victim Triage categories - Answer Red (Emergent) Yellow (Urgent) Green (non-urgent) Black (deceased, expected to die) Call out and they can walk to where you told them to walk to - An...

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30 pages

Written in 2022/2023

Grade A+

BillRanker

Complex Exam 2 Module 5 (Respiratory) Answered 2022.Complex Exam 2 Module 5 (Respiratory) Answered 2022.Complex Exam 2 Module 5 (Respiratory) Answered 2022.Complex Exam 2 Module 5 (Respiratory) Answered 2022.

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14 pages

Written in 2022/2023

Grade A+

Simon94

Complex Cms Exam - Questions With Complete Solutions

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13 pages

Written in 2022/2023

Grade A+

NorthWest

The nurse recognizes that primary manifesstations of systolic failure include a. decreased EF and increased PAWP b. decreased PAWP and increased EF c. decreased pulmonary hypertension associated with normal EF d. decreased afterload and decreased left ventricular end-diastolic pressure * Answer-a A compensatory mechanism involved in HF that leads to inappropriate fluid retention and additional workload of the heart is a. ventricular dilation b. ventricular hypertrophy c. neurohormo...

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19 pages

Written in 2022/2023

Grade A+

GEEKA