NUR 445 Final Exam – Questions With Correct
Solutions
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Terms in this set (120)
What medication is used to decrease Mannitol
ICP? -osmotic diuretic
-reduces ICP by inducing diuresis (creates an osmotic
gradient across the blood-brain barrier [BBB] and
increased serum osmolality -> pulls fluid out of brain
cells and shifts it into the intravascular compartment)
What medication would you plan on Atropine
administering to a patient who is -administer over 1 minute
experiencing bradycardia or heart -therapeutic effect desired = increased HR
block? -rapid administration may be used during cardiac
resuscitation (follow with 20 mL saline flush)
,A patient suffering from a hypertensive Nitroprusside
crisis enters the ED. What medication is -arteriole vasodilator
used to treat this emergent situation? -rapidly lowers BP
-decreases preload and afterload
What is clonidine used for? lowering of BP
Nitroprusside is the preferred agent if BP needs to be
lowered quickly
What medication prevents the Lactulose
absorption of ammonia from the GI -expect more frequent bowel movements
tract in order to treat hepatic -should see clearing of confusion, apathy, and
encephalopathy? irritation and improved mental status (24-48 hours
after oral administration)
Under what condition would you patient that is suffering from an ischemic stroke
administer tPA?
What is mutual support? assisting others
providing feedback
advocacy behaviors when patient safety is threatened
What is the difference between formal Formal should be retrospective and scheduled in
and informal feedback? advance
Informal occurs in real time and includes
huddles/debriefs
Explain the phenomenon of alarm Frequency of alarms becomes overwhelming,
fatigue resulting in delayed response to alarms and
deliberate alarm deactivation which may impact
patient safety
, What is the purpose of palliative care? nursing and medical treatments are combined with
control of pain and symptoms
What is the CUS method of advocacy? I am concerned
I am uncomfortable
This is a safety issue
What does DESC stand for? Describe the situation
Express what you think and feel
Suggest a solution
Consequences if no changes
What is the normal rate of the SA SA = 60-100
node, AV node, and ventricular rate? AV = 40-60
Ventricular = 20-40
What is the normal length of a P wave, P = 0.12-0.20 sec
QRS complex, and QT interval? QRS = ≤ 0.12 sec
QT = 0.32-0.40 sec
What nursing care should be provided Nothing unless symptomatic
to a patient with PACs?
beta blocker, CCB
What are the causes of asystole? Hs & Ts
Hypovolemia, hypoxemia, hypo/hyperkalemia
Tension pneumo, tamponade, thrombosis
What are treatments for asystole? Epi and CPR/ACLS
-Unable to shock because no electrical activity
How do we treat Vtach? defibrillation and/or amiodarone
Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (120)
What medication is used to decrease Mannitol
ICP? -osmotic diuretic
-reduces ICP by inducing diuresis (creates an osmotic
gradient across the blood-brain barrier [BBB] and
increased serum osmolality -> pulls fluid out of brain
cells and shifts it into the intravascular compartment)
What medication would you plan on Atropine
administering to a patient who is -administer over 1 minute
experiencing bradycardia or heart -therapeutic effect desired = increased HR
block? -rapid administration may be used during cardiac
resuscitation (follow with 20 mL saline flush)
,A patient suffering from a hypertensive Nitroprusside
crisis enters the ED. What medication is -arteriole vasodilator
used to treat this emergent situation? -rapidly lowers BP
-decreases preload and afterload
What is clonidine used for? lowering of BP
Nitroprusside is the preferred agent if BP needs to be
lowered quickly
What medication prevents the Lactulose
absorption of ammonia from the GI -expect more frequent bowel movements
tract in order to treat hepatic -should see clearing of confusion, apathy, and
encephalopathy? irritation and improved mental status (24-48 hours
after oral administration)
Under what condition would you patient that is suffering from an ischemic stroke
administer tPA?
What is mutual support? assisting others
providing feedback
advocacy behaviors when patient safety is threatened
What is the difference between formal Formal should be retrospective and scheduled in
and informal feedback? advance
Informal occurs in real time and includes
huddles/debriefs
Explain the phenomenon of alarm Frequency of alarms becomes overwhelming,
fatigue resulting in delayed response to alarms and
deliberate alarm deactivation which may impact
patient safety
, What is the purpose of palliative care? nursing and medical treatments are combined with
control of pain and symptoms
What is the CUS method of advocacy? I am concerned
I am uncomfortable
This is a safety issue
What does DESC stand for? Describe the situation
Express what you think and feel
Suggest a solution
Consequences if no changes
What is the normal rate of the SA SA = 60-100
node, AV node, and ventricular rate? AV = 40-60
Ventricular = 20-40
What is the normal length of a P wave, P = 0.12-0.20 sec
QRS complex, and QT interval? QRS = ≤ 0.12 sec
QT = 0.32-0.40 sec
What nursing care should be provided Nothing unless symptomatic
to a patient with PACs?
beta blocker, CCB
What are the causes of asystole? Hs & Ts
Hypovolemia, hypoxemia, hypo/hyperkalemia
Tension pneumo, tamponade, thrombosis
What are treatments for asystole? Epi and CPR/ACLS
-Unable to shock because no electrical activity
How do we treat Vtach? defibrillation and/or amiodarone
