NUR 211 Exam 1 UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
What ECG changes might you see in a patient with hypokalemia? - CORRECT
ANSWER - Inverted T wave
- ST depression
- Prominent U wave
What part of the ECG represents early ventricular repolarization? - CORRECT
ANSWER ST segment
What does the P-wave represent? - CORRECT ANSWER atrial depolarization/
contraction in response to the SA node
What ECG changes would you expect to see in a patient with hyperkalemia? - CORRECT
ANSWER peaked T-waves
What is the treatment for a patient with PEA? - CORRECT ANSWER CPR, defib, epi
What are the indications for inserting a central venous access device? - CORRECT
ANSWER long term IV therapy:
- fluids
- chemo
- nutrition
- blood products
- vesicants (meds with pH <5 or >9, osmo >600)
How is CVAD placement verified? - CORRECT ANSWER X-ray -- they are
radiopaque
, What are the 4 types of CVADs? - CORRECT ANSWER 1. peripherally inserted
central catheter (PICC)
2. nontunneled central line
3. tunneled central line
4. implanted ports
How long can a PICC line be used? - CORRECT ANSWER 7 days to several months
Where is a PICC line inserted? - CORRECT ANSWER peripherally (basilic or
cephalic vein at AC)
How are incompatible drugs given to a patient with a PICC line? - CORRECT
ANSWER in separate ports
What are the nursing responsibilities when caring for a patient with a PICC line? -
CORRECT ANSWER - keep dressing secured and sterile
- keep line patent by flushing at intervals as ordered and assess patency Q shift
When teaching a patient with HF about s/sx that indicate a need to contact the primary health
care provider, which clinical manifestations would the nurse include? - CORRECT
ANSWER - extreme/ unusual fatigue
- coughing at night
- difficulty breathing
Which compensatory changes occur in the C/V system during pregnancy? - CORRECT
ANSWER - Increased blood volume
- Increased cardiac output
- enlargement of the heart
Which adverse hemodynamic effects typically occur when a client develops tachycardia? -
CORRECT ANSWER - decreased ventricular filling time
QUESTIONS AND CORRECT ANSWERS
What ECG changes might you see in a patient with hypokalemia? - CORRECT
ANSWER - Inverted T wave
- ST depression
- Prominent U wave
What part of the ECG represents early ventricular repolarization? - CORRECT
ANSWER ST segment
What does the P-wave represent? - CORRECT ANSWER atrial depolarization/
contraction in response to the SA node
What ECG changes would you expect to see in a patient with hyperkalemia? - CORRECT
ANSWER peaked T-waves
What is the treatment for a patient with PEA? - CORRECT ANSWER CPR, defib, epi
What are the indications for inserting a central venous access device? - CORRECT
ANSWER long term IV therapy:
- fluids
- chemo
- nutrition
- blood products
- vesicants (meds with pH <5 or >9, osmo >600)
How is CVAD placement verified? - CORRECT ANSWER X-ray -- they are
radiopaque
, What are the 4 types of CVADs? - CORRECT ANSWER 1. peripherally inserted
central catheter (PICC)
2. nontunneled central line
3. tunneled central line
4. implanted ports
How long can a PICC line be used? - CORRECT ANSWER 7 days to several months
Where is a PICC line inserted? - CORRECT ANSWER peripherally (basilic or
cephalic vein at AC)
How are incompatible drugs given to a patient with a PICC line? - CORRECT
ANSWER in separate ports
What are the nursing responsibilities when caring for a patient with a PICC line? -
CORRECT ANSWER - keep dressing secured and sterile
- keep line patent by flushing at intervals as ordered and assess patency Q shift
When teaching a patient with HF about s/sx that indicate a need to contact the primary health
care provider, which clinical manifestations would the nurse include? - CORRECT
ANSWER - extreme/ unusual fatigue
- coughing at night
- difficulty breathing
Which compensatory changes occur in the C/V system during pregnancy? - CORRECT
ANSWER - Increased blood volume
- Increased cardiac output
- enlargement of the heart
Which adverse hemodynamic effects typically occur when a client develops tachycardia? -
CORRECT ANSWER - decreased ventricular filling time
