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The nurse is caring for a patient who has a high fever, central nervous system dysfunction and tachycardia. The nurse should recognize that the patient may be experiencing A. myxedema crisis. B. Beck's triad. C. thyroid storm. D. hyperosmolar hyperglycemic nonketotic syndrome (HHNS). - ANS C. Thyroid storm Which of the following assessment findings associated with a skull fracture indicate the need for further intervention? A. otorrhea, nausea, and vomiting B. decreasing le...

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26 páginas

Escrito en 2024/2025

Grado A+

DocLaura

Anticholinergics [not producing fluids/blood to heart, lungs and brain] syndrome (antihistamines, bronchodilators, cyclic antidepressants, SLEEP AIDS) - ANS Hot as a hare (hyperthermia) Red as a beet (flushed) Dry as a bone [ANHYDROSIS (dry skin, urinary retention) Blind as a bat (mydriasis) Mad as a hatter (hallucinations, delirium, myoclonic jerking) The antidote for anticholinergic toxicity is physostigmine salicylate. Physostigmine is the only reversible acetylcholinesteras...

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9 páginas

Escrito en 2024/2025

Grado A+

DocLaura

Which of the following statements made by a patient would lead the nurse to conclude that the patient understands risk factors for pulmonary embolism? While on a long flight, I should get up and walk to stretch my legs every hour. Resuming my birth control pills will lower my risk of cancer and my risk of another clot. If I drink plenty of water while driving on a long trip, this shouldn't happen again. Switching from my regular cigarettes to the electronic ones can reduce my risk. - AN...

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3 páginas

Escrito en 2024/2025

Grado A+

DocLaura

Which of the following statements made by a patient would lead the nurse to conclude that the patient understands risk factors for pulmonary embolism? While on a long flight, I should get up and walk to stretch my legs every hour. Resuming my birth control pills will lower my risk of cancer and my risk of another clot. If I drink plenty of water while driving on a long trip, this shouldn't happen again. Switching from my regular cigarettes to the electronic ones can reduce my risk. - AN...

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28 páginas

Escrito en 2024/2025

Grado A+

DocLaura

1. A pt presents to the ED complaining of a 2 day history of a dull substernal ache that has continued to increase in intensity. The pt states that they had some relief after taking nitro yesterday. Vitals: 114/68 BP, 68 HR, 22RR. The EKG demonstrates a new onset of left bundle branch block. The priority intervention for this pt is: A. Continue monitoring for development of ST segment elevation B. Serial cardiac markers C. Preparing the pt for transport to interventional cardiology D. Adm...

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56 páginas

Escrito en 2024/2025

Grado A

PossibleA

1. A pt present to the ED with complaints of chest pain. The 12-lead EKG reveals ST segment elevation in leads I and aVL. The initial BP is 112/69 and decreases to a systolic of 60 mmHg following a dose of nitroglycerin 0.4mg SL. The next most appropriate intervention is to: A. Complete a fibrinolytic check sheet B. Initiate a dopamine drip for blood pressure control C. Obtain a R sided EKG D. Administer a 0.9% NS bolus IV - D. Administer a 0.9% NS bolus IV Pts can be sensitive to va...

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54 páginas

Escrito en 2024/2025

Grado A

PossibleA

1. A pt presents who had experienced chest pain but is now pain free. EKG's have been repeated twice, and troponin levels repeated at 4 hour intervals are within normal limits. The pt has no significant risk factor for heart disease. The nurse anticipates: A. Admission to the ICU to rule out MI B. Admission to the cardiac cath lab for eval of coronary anatomy C. That the pt will be discharged home, with instructions for close follow up with their PCP because the risk of an adverse coronar...

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56 páginas

Escrito en 2024/2025

Grado A

PossibleA

Ehler Danlos Syndrome puts patients at high risk for what? - Aortic aneurysm and dissection Jervell and Lange-Nielsen syndrome puts patients at high risk for what? - Long QT Initial defibrillation dose for pediatric patient - 2 joules per kg then 4 joules, increasing up to 10 joules Signs of endocarditis - Janeway lesions- petechial lesions on palms/soles of feet Osler's nodes- painful fingertip lesions Roth's spots- retinal hemorrhages How to decrease pulmonary congestion in acu...

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5 páginas

Escrito en 2024/2025

Grado A

PossibleA

Which dysrhythmia would be identified on an ECG/EKG six-second strip by a heart rate of 76 and a PR interval of 0.24? tachycardia -degree atrioventricular block bradycardia ional escape rhythm - B: First-degree atrioventricular block is diagnosed partially by an EKG showing a PR interval of greater than 0.20 seconds. Which blood test may indicate infection or inflammation and would need to be used as part of the clinical picture with diagnosing and treating abdominal pain? blood cell ...

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13 páginas

Escrito en 2024/2025

Grado A

PossibleA

Complete package deal;Verified study guide with complete solution rated A version 2024 guide.

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84 artículos

MBOFFIN

Cen Exam With Complete Solutions 100% 2023/2024

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43 páginas

Escrito en 2023/2024

Grado A+

Ressy

COMBINED CEN Practice Test Verified Questions and Answers 2024 COMBINED CEN Practice Test Verified Questions and Answers 2024

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5 artículos

Bestzone

Right ventricular infarction (RVI) lead changes - II, III, AVF R ventricular infarction s/s - clear breath sounds, hypotension, JVD. R ventricular dilation and dec contractility>> dec preload and CO Reperfusion therapy standard - Within 60 min of ED arrival Common causes of PEA - Hypoxia, tension pneumo, cardiac tamponade BNP as a marker - of L ventricular dysfunction bc ventricles make BNP and an inc of over 100 pg/ml indicates symptomatic HF Transcutaneous pacing (TCP) - ...

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22 páginas

Escrito en 2023/2024

Grado A

Bestzone

Which dysrhythmia would be identified on an ECG/EKG six-second strip by a heart rate of 76 and a PR interval of 0.24? tachycardia -degree atrioventricular block bradycardia ional escape rhythm - B: First-degree atrioventricular block is diagnosed partially by an EKG showing a PR interval of greater than 0.20 seconds. Which blood test may indicate infection or inflammation and would need to be used as part of the clinical picture with diagnosing and treating abdominal pain? blood cell ...

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9 páginas

Escrito en 2023/2024

Grado A

Bestzone

Preload refers to: a. The volume of blood entering the left side of the heart b. The volume of blood entering the right side of the heart c. The pressure in the venous system that the heart must overcome to pump the blood d. The pressure in the arterial system that the heart must overcome to pump the blood - b. The volume of blood entering the right side of the heart Preload is the volume of blood that enters the right side of the heart. This volume stretches the fibers in the heart pri...

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16 páginas

Escrito en 2023/2024

Grado A

Bestzone

Package deal for CEN Test Questions with 100% Correct Answers 2024

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7 artículos

MBOFFIN

"Tearing chest pain" - Aortic dissection. Unequal upper extremity blood pressure readings (L arm > R arm with difference of 20mmHg systolic) ST elevation in V1, 2, 3, and 4 - Anterior myocardial infarction ST elevation leads I, AVL, V5, V6 - Lateral myocardial infarction Reciprocal changes in leads V1 and V2 with ST elevation - Posterior myocardial infarction ST elevation in leads II, III, and AVF - Inferior myocardial infarction Wellen's syndrome - EKG shows a lack ...

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13 páginas

Escrito en 2023/2024

Grado A+

MBOFFIN

1. A pt presents to the ED experiencing an anterior ST segment elevation MI. The pts vital signs are normal. The hospital is not equipped with a cardaic catheterization lab. The pt can be transferred to a cardaic catheterization lab within 60 mins. Which of the following would you anticipate for this pt?: A. A bolus of tissue plasminogen activator, followed by an infusion for fibrinolytic therapy B. Immediate transfer to the hospital with a cardiac catheterization lab for percutaneous corona...

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37 páginas

Escrito en 2023/2024

Grado A+

MBOFFIN

MAP calculation - [( 2xDBP) + SBP] / 3 cushing's triad - widened pulse pressure, bradycardia, and irregular respirations (indicative of increased ICP) chronotropes - affect the heart rate at the SA node (cardizem) inotropes - affect contractility (dopamine) dromotropes - affect automaticity of the heart ACE inhibitors adverse effects - dry cough, angioedema, renal impairment ARB (sartans) - block angiotensin 2 receptors, resulting in vasodilation antidote for vasopressor extravas...

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25 páginas

Escrito en 2023/2024

Grado A+

MBOFFIN

A patient complained of Epigastric pain has ST elevation in ECG leads II, III, and aVF. She is diagnosed with an inferior MI, and NTG is administered sublingually. Her blood pressure drops from 120/47 to 90/60 so the Provider order is a right-sided ECG while awaiting cardiology. Where is the correct leap placement for V4R to detect right ventricular MI's? a. 2nd ICS R sternal border b. 4th ICS R mid-cliviclar line c. 5th ICS L mid-clavicular line d. 5th ICS R mid-axillary line - b. 4th I...

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14 páginas

Escrito en 2023/2024

Grado A+

MBOFFIN