A&C II Exam 2 With Complete Answers
Which xaction xwould xthe xnurse xtake xto xsafely xadminister xdobutamine xto xa xpatient
xwith xcardiogenic xshock? x(Select xall xthat xapply)
A. xMonitor xheart xrate xand xblood xpressure
B. xAdminister xthrough xa xcentral xline
C. xStop xinfusion xif xtachydysrhythmias xdevelop
D. xAlways xadminister xwith xsodium xbicarbonate
E. xUse xglass xbottle xfor xinfusion x- xCORRECT✅✅A, xB, xC
Which xarea xwould xthe xnurse xattach xa xpulse xoximetry xprobe xto xmonitor xthe xO2
xsaturation xon xa xpatient xin xcardiogenic xshock? x(Select xall xthat xapply)
A. xEar
B. xNose
C. xForehead
D. xToes
E. xFingers x- xCORRECT✅✅A, xB, xC
Which xassessment xfinding xis xMOST xconcerning xin xa xpatient xexperiencing
xcardiogenic xshock?
A. xPaO2 x60 xmm xHg
B. xBP x100/56
C. xHeart xrate x96 xBPM
D. xUrine xoutput x260 xmL xin x8 xhours x- xCORRECT✅✅A
Which xmedical xdiagnosis xwould xthe xnurse xsuspect xas xthe xcause xof xcardiogenic
xshock?
A. xMyocardial xinfarction
B. xUrosepsis
C. xHemmorrhage
D. xPulmonary xembolism x- xCORRECT✅✅A
For xwhich xpatient xconditions xis xcoronary xrevascularization xwith xcoronary xartery
xbypass xgraft x(CABG) xsurgery xrecommended? x(Select xall xthat xapply)
A. xsevere xaortic xstenosis
B. xfailed xmedical xmanagement
C. xLeft xmain xcoronary xartery xor xthree xvessel xdisease
D. xNot xcandidates xfor xpercutaneous xcoronary xintervention x(PCI)
, E. xfailed xPCI xwith xcontinued xchest xpain x- xCORRECT✅✅B, xC, xD, xE
Which xaction xwould xthe xnurse xtake xwhen xmonitoring xa xpatient xfor xcomplications
xafter xcoronary xartery xbypass xgraft x(CABG) xsurgery xinvolving xcardiopulmonary
xbypass x(CPB)? x(Select xall xthat xapply)
A. xcheck xfluid xstatus
B. xassess xfor xbleeding
C. xrestore xtemperature
D. xmonitor xhemodynamics
E. xreplace xblood xand xelectrolytes x- xCORRECT✅✅A, xB, xC, xD, xE x(ALL)
The xnurse xis xproviding xpostoperative xcare xto xa xpatient xwho xunderwent xCABG
xsurgery. xFor xwhich xcommon xcomplication xwould xthe xnurse xmonitor xthe xpatient?
A. xAtrial xdysrhythmias
B. xDehydration
C. xParalytic xileus
D. xARDS x- xCORRECT✅✅A
The xNurse xnotes xa xpatient xwith xcardiogenic xshock xis xanxious, xconfused, xand
xagitated. xThe xnurse xknows xthese xsymptoms xare xsigns xof ximpairment xin xwhich
xprocess? x- xCORRECT✅✅Cerebral xperfusion
For xwhich xproblems xis xa xpercutaneous xartery xintervention x(PCI) xinitially xindicated?
A. xAcute xmyocardial xinfarction
B. xchronic xstable xangina
C. xLeft xsided xHF
D. xCoronary xartery xdisease x(CAD) x- xCORRECT✅✅A
For xwhich xreason xwould xa xpatient xwith xacute xcoronary xsundrome x(ACS) xbe
xscheduled xfor xan xoff-pump xcoronary xartery xbypass x(OPCAB) xsurgery xrather xthan
xa xtraditional xsurgical xapproach? x- xCORRECT✅✅It xis xassociated xwith xless xblood
xloss xand xless xrenal xdysfunction
Which xhemodynamic xparameter xbest xreflects xthe xeffectiveness xof xdrugs xthat xthe
xnurse xgives xto xreduce xa xpatient's xleft xventricular xafter xload?
a. xMean xarterial xpressure x(MAP)
b. xSystemic xvascular xresistance x(SVR)
c. xPulmonary xvascular xresistance x(PVR)
d. xPulmonary xartery xwedge xpressure x(PAWP) x- xCORRECT✅✅B
Which xaction xwould xthe xnurse xtake xto xsafely xadminister xdobutamine xto xa xpatient
xwith xcardiogenic xshock? x(Select xall xthat xapply)
A. xMonitor xheart xrate xand xblood xpressure
B. xAdminister xthrough xa xcentral xline
C. xStop xinfusion xif xtachydysrhythmias xdevelop
D. xAlways xadminister xwith xsodium xbicarbonate
E. xUse xglass xbottle xfor xinfusion x- xCORRECT✅✅A, xB, xC
Which xarea xwould xthe xnurse xattach xa xpulse xoximetry xprobe xto xmonitor xthe xO2
xsaturation xon xa xpatient xin xcardiogenic xshock? x(Select xall xthat xapply)
A. xEar
B. xNose
C. xForehead
D. xToes
E. xFingers x- xCORRECT✅✅A, xB, xC
Which xassessment xfinding xis xMOST xconcerning xin xa xpatient xexperiencing
xcardiogenic xshock?
A. xPaO2 x60 xmm xHg
B. xBP x100/56
C. xHeart xrate x96 xBPM
D. xUrine xoutput x260 xmL xin x8 xhours x- xCORRECT✅✅A
Which xmedical xdiagnosis xwould xthe xnurse xsuspect xas xthe xcause xof xcardiogenic
xshock?
A. xMyocardial xinfarction
B. xUrosepsis
C. xHemmorrhage
D. xPulmonary xembolism x- xCORRECT✅✅A
For xwhich xpatient xconditions xis xcoronary xrevascularization xwith xcoronary xartery
xbypass xgraft x(CABG) xsurgery xrecommended? x(Select xall xthat xapply)
A. xsevere xaortic xstenosis
B. xfailed xmedical xmanagement
C. xLeft xmain xcoronary xartery xor xthree xvessel xdisease
D. xNot xcandidates xfor xpercutaneous xcoronary xintervention x(PCI)
, E. xfailed xPCI xwith xcontinued xchest xpain x- xCORRECT✅✅B, xC, xD, xE
Which xaction xwould xthe xnurse xtake xwhen xmonitoring xa xpatient xfor xcomplications
xafter xcoronary xartery xbypass xgraft x(CABG) xsurgery xinvolving xcardiopulmonary
xbypass x(CPB)? x(Select xall xthat xapply)
A. xcheck xfluid xstatus
B. xassess xfor xbleeding
C. xrestore xtemperature
D. xmonitor xhemodynamics
E. xreplace xblood xand xelectrolytes x- xCORRECT✅✅A, xB, xC, xD, xE x(ALL)
The xnurse xis xproviding xpostoperative xcare xto xa xpatient xwho xunderwent xCABG
xsurgery. xFor xwhich xcommon xcomplication xwould xthe xnurse xmonitor xthe xpatient?
A. xAtrial xdysrhythmias
B. xDehydration
C. xParalytic xileus
D. xARDS x- xCORRECT✅✅A
The xNurse xnotes xa xpatient xwith xcardiogenic xshock xis xanxious, xconfused, xand
xagitated. xThe xnurse xknows xthese xsymptoms xare xsigns xof ximpairment xin xwhich
xprocess? x- xCORRECT✅✅Cerebral xperfusion
For xwhich xproblems xis xa xpercutaneous xartery xintervention x(PCI) xinitially xindicated?
A. xAcute xmyocardial xinfarction
B. xchronic xstable xangina
C. xLeft xsided xHF
D. xCoronary xartery xdisease x(CAD) x- xCORRECT✅✅A
For xwhich xreason xwould xa xpatient xwith xacute xcoronary xsundrome x(ACS) xbe
xscheduled xfor xan xoff-pump xcoronary xartery xbypass x(OPCAB) xsurgery xrather xthan
xa xtraditional xsurgical xapproach? x- xCORRECT✅✅It xis xassociated xwith xless xblood
xloss xand xless xrenal xdysfunction
Which xhemodynamic xparameter xbest xreflects xthe xeffectiveness xof xdrugs xthat xthe
xnurse xgives xto xreduce xa xpatient's xleft xventricular xafter xload?
a. xMean xarterial xpressure x(MAP)
b. xSystemic xvascular xresistance x(SVR)
c. xPulmonary xvascular xresistance x(PVR)
d. xPulmonary xartery xwedge xpressure x(PAWP) x- xCORRECT✅✅B
