2026. (Questions with Correct Verified
Answers). Graded A
Acute mgmt measures for ischemic stroke patients? – ANS
1. aspirin within 24 hours
2. NS (Avoid hypotonic IV solutions)
3. blood glucose maintain less than or equal to 150 mg/dL
4. surgical consult
5. no indication for steroids or anticonvulsants
6. rehab (PT/OT/SLP consults)
Aspiration precautions for gI patient - ANS-elevate hob 30-45 degrees
-consider post-pyloric placement of feeding tube if residuals continue to be
above 500 mL
-Consider prokinetics to promote gastric emptying (such as erythromycin,
metoclopramide, or naloxone) after three consecutive residuals > 500 mL
Assessing for GI bleed - ANScoffee ground drainage in suction container
Cardiac enzymes are elevated in which conditions? in contrast, not
elevated in what conditions? - ANSMI
pericarditis
myocarditis
1
,not so much elevated in congestive heart failure
CAUTI prevention measures - ANS-frequently assess need for catheter
-prevent dependent loops
-always assure that bag is less than half full
-perform peri care every shift
-maintain tubing free of kinks
-if breaks in system are noted, replace catheter and collecting system
Describe procedure for removing an art line - ANS1. MD order
2. standard precautions
3. remove dressing and suture
4. assess and palpate pulse
5. slowly pull line
6. allow 1-2 pusations
7. apply constant pressure for 5-10 min
8. pressure dressing
9. check site and pulses
diet restrictions in acute renal failure (What would a tube feed consist of)? -
ANSlow potassium
low sodium
low phos
low protein
Do not increase Na more than ___ mEq/L in 24 hours period d/t risk for
central pontine myelinolysis - ANS10
2
, Do not start an insulin infusion for treatment of DKA until it is confirmed that
the L level is greater than ____ - ANS3.3 mEq/L
Doses of dopamine - ANSLow: 0.5-2 mcg/kg/min (dopaminergic)
Intermediate: 2-10 mcg/kg/min (beta receptors, increases CO)
High: over 10 mcg/kg/min (alpha receptors, vasoconstrict)
drugs given for increased ICP? - ANS3%
mannitol
23%
Drugs that DECREASE afterload? - ANSdilators
-nitroprusside
-nitroglycerin
-amrinone
-alpha and calcium channel blockers
drugs that decrease contractility? - ANSbeta-blockers
calcium channel blockers
Drugs that DECREASE preload? - ANS•Dilators:
• Nitroglycerin
• Nitroprusside
• Amrinone
• Alpha and Calcium Channel blockers
3