Critical care Study guides, Class notes & Summaries

What are the three types of angina? correct answer: 1. Stable 2. Unstable 3. Prinzmetal's/Variant What is stable angina? correct answer: Excerise induced chest pain relieved by rest or nitroglycerin (non-emergent) What is unstable angina? correct answer: Chest pain that occurs at rest. Symptoms more significant (emergent, call 911 right away) What is Prinzmetal's angina? What is the patient at risk for? correct answer: Spasms of coronary arteries that occur at rest. High risk...

Test Bank for Priorities in Critical Care Nursing 8th Edition by Urden.

1. What are the risk factors for stress-induced hyperglycemia?(DOPEGAME): 1. Diabetes 2. Obesity 3. Pancreatitis, cirrhosis 4. Exogenous catecholamines 5. Glucocorticoid therapy 6. Advanced age 7. Meds 8. Enteral/parenteral nutrition 2. What are the clinical manifestation of DKA? (6): 1. Dehydration 2. Polyuria 3. Polyphagia 4. Hyperventilation/Kussmaul's 5. Fruity odor to the breath 6. Flushed/Dry skin 3. What does the resuscitation of a traumatically injured patient involve?(2...

Cerebral blood vessels dilate in response to: - CORRECT ANS Increased serum carbon dioxide Pressure regulation is an autoregulatory mechanism whereby cerebral blood vessels constrict in response to: - CORRECT ANS Systemic HTN Cerebral blood flow decreases with: - CORRECT ANS -Cerebral edema -Low CO -Cerebral vasoconstriction The Monro-Kellie hypothesis states that volume increases in teh adult intracranial vault: - CORRECT ANS -Are initially well tolerated through compensatory mechanism...

What type of acid-base disturbance presents with a pH of 7.1, pCO2 of 50, and HCO3 of 30 - CORRECT ANS Respiratory acidosis What is the primary disturbance in respiratory acidosis? - CORRECT ANS High pCO2 What is the main cause of respiratory acidosis? - CORRECT ANS hypoventilation How does the body compensate in respiratory acidosis? - CORRECT ANS Increase renal reabsorption of bicarbonate What type of acid-base disturbance presents with a pH of 7.1, pCO2 28, and HCO3 of 18 - CORRECT A...

The nurse is providing postprocedure care to a client who had a cardiac catheterization. The client begins to manifest signs and symptoms associated with embolization. Which action should the nurse take? a. Notify the primary healthcare provider immediately b. Apply a warm, moist compress to the incision site c. Increase the intravenous fluid rate by 20 mL/hr d. Monitor vital signs more frequently b A nurse observes a window washer falling 25 feet (7.6 m) to the ground. The nurse rushe...

The triage nurse is assessing a victim of a stab wound. According to the paramedics, the victim was stabbed by a male attacker. The knife blade is 6 inches (7.2 cm) in length and 1 inch (2.5 cm) in width. The "point of entry" of the stab wound is two inches above and left of the victim's xiphoid process. Which vital organ(s) are at an increased risk of being in the direct path of injury? - CORRECT ANSWER Heart Lungs Diaphragm What way do females stab? - CORRECT ANSWER Downwards What ...

1. 1 . What assessment findings should he nurse document in the electronicmedical record for a client who is experiencing autonomic dysreflexia after a T-4 spinal cord injury?: Ans: Severe hypertension, diaphroresis, and flushing above the lesion 2. 2 As the nurse is turning a client with a chest tube,the chest tube becomesdislodged from the pleural space.What action should the nurse take first?: Ans: Have the client exhale forcefully and tape 3 sides of a sterile gauze over theinsertion ...

an unexpected, catastrophic pulmonary complication with no previous pulmonary problems - CORRECT ANS ARDS ARDS mortality rate: - CORRECT ANS 50% (high) interventions to prevent complications of vented patients with ARDS: - CORRECT ANS elevate HOB to at least 30 degrees sedation vacations strict oral hygiene implement mobilization program increased risk and mortality rate from ARDS in individuals who have a history of _____________ - CORRECT ANS alcohol abuse suction only when _________...

The nurses calculating fluid resuscitation for young adult male who was burned in a bloody accident at 1200 and is seen in the ER at 1400. The HCP determines that the client has burn over 30% of his body, mainly over his arms and chest. Using the Parkland formula for fluid resuscitation, the client is to receive 7000 mL of fluid in 24 hours. Which goal should the nurse establish for this clients plan of care? - CORRECT ANS By 2000, the client will have received 3500 mL of fluid When caring...