ACE LEARNERS

1. 1 . What assessment findings should he nurse document in the electronic medical record for a client who is experiencing autonomic dysreflexia after a T-4 spinal cord injury?: Ans: Severe hypertension, diaphroresis, and flushing above the lesion 2. 2 As the nurse is turning a client with a chest tube, the chest tube becomes dislodged from the pleural space. What action should the nurse take first?: Ans: Have the client exhale forcefully and tape 3 sides of a sterile gauze over the insertio...

1. What are the risk factors for stress-induced hyperglycemia? (DOPEGAME): 1. Diabetes 2. Obesity 3. Pancreatitis, cirrhosis 4. Exogenous catecholamines 5. Glucocorticoid therapy 6. Advanced age 7. Meds 8. Enteral/parenteral nutrition 2. What are the clinical manifestation of DKA? (6): 1. Dehydration 2. Polyuria 3. Polyphagia 4. Hyperventilation/Kussmaul's 5. Fruity odor to the breath 6. Flushed/Dry skin 3. What does the resuscitation of a traumatically injured patient involve? (2...

The nurse is providing postprocedure care to a client who had a cardiac catheterization. The client begins to manifest signs and symptoms associated with embolization. Which action should the nurse take? a. Notify the primary healthcare provider immediately b. Apply a warm, moist compress to the incision site c. Increase the intravenous fluid rate by 20 mL/hr d. Monitor vital signs more frequently A nurse observes a window washer falling 25 feet (7.6 m) to the ground. The nurse ru...

The nurses calculating fluid resuscitation for young adult male who was burned in a bloody accident at 1200 and is seen in the ER at 1400. The HCP determines that the client has burn over 30% of his body, mainly over his arms and chest. Using the Parkland formula for fluid resuscitation, the client is to receive 7000 mL of fluid in 24 hours. Which goal should the nurse establish for this clients plan of care? - CORRECT ANS By 2000, the client will have received 3500 mL of fluid When caring...

spinal cord injury at the scene - CORRECT ANS Nursing interventions are focused on stabilization of the spine, preserving the airway and respiratory status and preventing complications associate with SCI. Assessment of respiratory and neurological status is first priority, might need to be tubed. If in neurogenic shock, they cannot regulate body temperature teaching for ICD - CORRECT ANS site care and symptoms of complications, hematoma at the site is common, wear a medic alert bracel...

pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 - CORRECT ANSWER respiratory acidosis (if CO2 is high it will always be resp. acidosis) "heart is pounding outside of her chest" client is in SVT; intervention - CORRECT ANSWER coach client in relaxation and deep breathing insulin protocol; pt. insulin is infused at 5 units/hr and her current glucose reading is 165. what to do? - CORRECT ANSWER increase drip by 1 unit/hr calculate; 1,500,000 IU in 500 mL of 0.9% N...

spinal cord injury at the scene - CORRECT ANS Nursing interventions are focused on stabilization of the spine, preserving the airway and respiratory status and preventing complications associate with SCI. Assessment of respiratory and neurological status is first priority, might need to be tubed. If in neurogenic shock, they cannot regulate body temperature teaching for ICD - CORRECT ANS site care and symptoms of complications, hematoma at the site is common, wear a medic alert bracel...

The triage nurse is assessing a victim of a stab wound. According to the paramedics, the victim was stabbed by a male attacker. The knife blade is 6 inches (7.2 cm) in length and 1 inch (2.5 cm) in width. The "point of entry" of the stab wound is two inches above and left of the victim's xiphoid process. Which vital organ(s) are at an increased risk of being in the direct path of injury? - CORRECT ANSWER Heart Lungs Diaphragm What way do females stab? - CORRECT ANSWER Downwards W...

What type of acid-base disturbance presents with a pH of 7.1, pCO2 of 50, and HCO3 of 30 - CORRECT ANS Respiratory acidosis What is the primary disturbance in respiratory acidosis? - CORRECT ANS High pCO2 What is the main cause of respiratory acidosis? - CORRECT ANS hypoventilation How does the body compensate in respiratory acidosis? - CORRECT ANS Increase renal reabsorption of bicarbonate What type of acid-base disturbance presents with a pH of 7.1, pCO2 28, and HCO3 of...

Cerebral blood vessels dilate in response to: - CORRECT ANS Increased serum carbon dioxide Pressure regulation is an autoregulatory mechanism whereby cerebral blood vessels constrict in response to: - CORRECT ANS Systemic HTN Cerebral blood flow decreases with: - CORRECT ANS -Cerebral edema -Low CO -Cerebral vasoconstriction The Monro-Kellie hypothesis states that volume increases in teh adult intracranial vault: - CORRECT ANS -Are initially well tolerated through co...

During the first 48 hours after a client has sustained a thermal injury, which conditions should the nurse assess for? - CORRECT ANS Hyperkalemia and Hyponatremia A nurse is assessing a client's EKG reading. The client's atrial and ventricular heart rates are equal at 88 beats per minute. The PR interval is 0.14 seconds, and the QRS width is 0.10 seconds. Rhythm is regular with normal P waves and QRS complexes. How will the nurse interpret this rhythm? - CORRECT ANS normal sinus Th...

an unexpected, catastrophic pulmonary complication with no previous pulmonary problems - CORRECT ANS ARDS ARDS mortality rate: - CORRECT ANS 50% (high) interventions to prevent complications of vented patients with ARDS: - CORRECT ANS elevate HOB to at least 30 degrees sedation vacations strict oral hygiene implement mobilization program increased risk and mortality rate from ARDS in individuals who have a history of _____________ - CORRECT ANS alcohol abuse suction on...

You are the first to arrive at the scene of an unresponsive patient and you observe a large sum of cash near the patient. No one is in the room with you. The professional quality that prevents you from taking the cash, even though no one would know, is: - CORRECT ANS integrity Once an EMR has provided initial emergency care for a critically injured patient, which of the following factors will give the patient the best chance of survival? - CORRECT ANS Prompt transport to a trauma c...

The safe lifting technique that uses the large muscles in your legs & minimizes the risk of injury is called the - CORRECT ANS Power lift You have placed a patient on your stretcher. She has no injuries but has been vomiting for several days. Her blood pressure is 92/60, and she says she feels dizzy. The best position for this patient is the: - CORRECT ANS Shock position You are moving a stable patient down a narrow hallway with several turns. Your traditional stretcher will not fit....

a 33 year old woman has a possible broken left ankle. she is in significant pain but is conscious and otherwise stable this patient requires - CORRECT ANS transport with out light and sirens components of the quality improvement process is identified by the institute of medicine include all of the following except - CORRECT ANS teamwork which of the following represents the least healthy and well balanced diet - CORRECT ANS one cup of fruit, three ounces of salt and one cup of f...

Class 1 (Hazard Class) - CORRECT ANSWER -EXPLOSIVES- Any substance, article or device designed to function by explosion (extremely rapid release of gas and heat). Class 2 (Hazard Class) - CORRECT ANSWER -GASES (FLAMMABLE or POISONOUS)- Flammable Gas: Ignitable at low concentrations (<13%) Compressed Gas: Shipped at > 41psia Poisonous Gas: Toxic to humans of hazardous to health (or LC50 of not more than 5000 ml/m3 for laboratory animals). (i.e. toxic in low concentrations) C...

STUDY OMSA 2020/ OMSA 2021/ OMSA (EXAM #3)/ OMSA (EXAM #2)/ OMSA (EXAM #1)/ OMSA FALL 2018 PRACTICE TEST / OMSA FINAL REVIEW/ OMSA MIDTERM 2 / OMSA RECERTIFICATION PRACTICE TEST/ OMSA STUDY GUIDE

Pathway of Blood Flow from Lungs Carrying Oxygen - CORRECT ANS Through the Pulmonic vein to the Left Atrium, through Mitral Valve, to the Left Ventrical , through the Aortic Valve to the Aorta. (P,LA,MV, LV,AV,A) Pathway of Blood flow Through the Heart - CORRECT ANS Superior and Inferior Vena Cava to Right Atrium, through Tricuspid Valve into Right Ventrical, past the Pulmonic Valve to the Pulmonary Artery How many Chambers does the heart have? What are the upper and the lower chambe...

Beta one controls the: - CORRECT ANS Heart the two systems that comprise the autonomic nervous system - CORRECT ANS parasympathetic and sympathetic the pathway of the blood flow through the heart - CORRECT ANS superior and inferior vena cava - right atrium - tricuspid valve - right ventricle - pulmonic valve - pulmonary artery - lungs- pulmonic vein - left atrium - mitrovalve - left ventricle - aortic valve - aorta - body insufficient blood flow through the coronary arteries ca...

What is the most common anesthesia related complication in the OS office? - CORRECT ANS Airway obstruction What is the earliest change in vital signs following airway obstruction? - CORRECT ANS tachycardia with an increase in respiratory rate What is the most common cause of obstruction in the upper airway? - CORRECT ANS the tongue What is the best position of the patient's head and neck for airway maintenance? - CORRECT ANS neck slightly extended, mandible supported in a...