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Complex Med Surg- Tests and Exams Bundle
Complex Med Surg-Bundle
[Show more]Complex Med Surg-Bundle
[Show more]Serves as guidelines for critical care nurses, establishes goals for patient care. - Answer AACN Standards for Acute and Critical Care Nursing Practice 
 
What makes delirium different from dementia? - Answer Delirium is fast onset, acute in nature, and there is usually a cause to it. 
 
True or...
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Add to cartServes as guidelines for critical care nurses, establishes goals for patient care. - Answer AACN Standards for Acute and Critical Care Nursing Practice 
 
What makes delirium different from dementia? - Answer Delirium is fast onset, acute in nature, and there is usually a cause to it. 
 
True or...
Beta blockers - Answer Lower HR by reducing blood pressure and opening blood flow to improve blood flow. 
 
Calcium channel blockers - Answer Lower B/P and HR by preventing calcium from entering the heart and blood vessel walls. 
 
Atropine - Answer Increases HR 
 
Dopamine - Answer Increase...
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Add to cartBeta blockers - Answer Lower HR by reducing blood pressure and opening blood flow to improve blood flow. 
 
Calcium channel blockers - Answer Lower B/P and HR by preventing calcium from entering the heart and blood vessel walls. 
 
Atropine - Answer Increases HR 
 
Dopamine - Answer Increase...
When to call IDN - Answer vented patient with GCS of 5 or less, regardless of sedation, call within 1 hr, at first mention of any end-of-life discussions, before any terminal wean and/or withdrawal of support, within 1 hr of cardiac time of death, if family mentions donation 
 
Dobutamine - Answer...
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Add to cartWhen to call IDN - Answer vented patient with GCS of 5 or less, regardless of sedation, call within 1 hr, at first mention of any end-of-life discussions, before any terminal wean and/or withdrawal of support, within 1 hr of cardiac time of death, if family mentions donation 
 
Dobutamine - Answer...
P wave - Answer Usually round & upright 
0.06 to 0.12 seconds 
 
QRS complex - Answer normal duration 0.4 to 0.10 (one small box to 2.5 small boxes) 
 
PR interval - Answer normal duration 0.12 to 0.20 
 
ST segment - Answer should be isoelectric 
the "J point" should come back to baseline...
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Add to cartP wave - Answer Usually round & upright 
0.06 to 0.12 seconds 
 
QRS complex - Answer normal duration 0.4 to 0.10 (one small box to 2.5 small boxes) 
 
PR interval - Answer normal duration 0.12 to 0.20 
 
ST segment - Answer should be isoelectric 
the "J point" should come back to baseline...
what happens in fluid overload? - Answer increased HR and blood pressure, decreased hematocrit 
 
If your patients central venous pressure decreased what might the condition of your patient be? - Answer Hypovolemia 
 
the icu nurse uses a pulmonary artery line (Swan-Ganz) to assess the patients ...
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Add to cartwhat happens in fluid overload? - Answer increased HR and blood pressure, decreased hematocrit 
 
If your patients central venous pressure decreased what might the condition of your patient be? - Answer Hypovolemia 
 
the icu nurse uses a pulmonary artery line (Swan-Ganz) to assess the patients ...
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The expectoration of blood from respiratory tract. - Answer Hemoptysis 
 
Aspiration of air and fluid from pleural space 
 
Performed for diagnostic or therapeutic purposes - Answer thoracentesis 
 
Decrease in arterial oxygen tension in blood. Manifested by changes in mental status, dyspnea, in...
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Add to cartThe expectoration of blood from respiratory tract. - Answer Hemoptysis 
 
Aspiration of air and fluid from pleural space 
 
Performed for diagnostic or therapeutic purposes - Answer thoracentesis 
 
Decrease in arterial oxygen tension in blood. Manifested by changes in mental status, dyspnea, in...
What is ICP?(intracranial pressure) - Answer Pressure exerted by the volume of the intracranial contents due to cerebral edema resulting in impaired cerebral perfusion 
 
What are intracranial contents? - Answer *CSF 
*Blood 
*Brain matter 
 
What are the causes of ICP? - Answer *Head injury 
...
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Add to cartWhat is ICP?(intracranial pressure) - Answer Pressure exerted by the volume of the intracranial contents due to cerebral edema resulting in impaired cerebral perfusion 
 
What are intracranial contents? - Answer *CSF 
*Blood 
*Brain matter 
 
What are the causes of ICP? - Answer *Head injury 
...
Acid Base chapter - Answer info card 
 
acid-base balance w/ associated conditions - Answer severe pneumonia- respiratory acidosis 
 
drug OD- resp acidosis 
 
pulm embolism- resp acidosis 
 
Emphysema- resp. acidosis 
 
Hyperventilating- respiratory alkalosis 
 
Rapid, shallow breathing at a ra...
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Add to cartAcid Base chapter - Answer info card 
 
acid-base balance w/ associated conditions - Answer severe pneumonia- respiratory acidosis 
 
drug OD- resp acidosis 
 
pulm embolism- resp acidosis 
 
Emphysema- resp. acidosis 
 
Hyperventilating- respiratory alkalosis 
 
Rapid, shallow breathing at a ra...
Standards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - Answer guidelines; establish goals; assess 
 
The _________ of patients' illness makes their care the top priority of critical c...
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Add to cartStandards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - Answer guidelines; establish goals; assess 
 
The _________ of patients' illness makes their care the top priority of critical c...
While monitoring a patient who has fluid overload, which assessment is most concerning to the nurse? 
 
A.Bounding pulse 
B.Neck vein distention 
C.Pitting edema in the feet 
Presence of crackles in the lungs - Answer ANS: D 
 
Fluid overload may lead to pulmonary edema and heart failure. Any pat...
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Add to cartWhile monitoring a patient who has fluid overload, which assessment is most concerning to the nurse? 
 
A.Bounding pulse 
B.Neck vein distention 
C.Pitting edema in the feet 
Presence of crackles in the lungs - Answer ANS: D 
 
Fluid overload may lead to pulmonary edema and heart failure. Any pat...
Woman should have the choice for yearly mammograms if they wish at what age? - Answer 40-44 
 
age for when woman should get mammograms yearly - Answer 45-54 
 
age for mammograms every 2 years - Answer 55+ 
 
At what age should woman and men begin colon testing? - Answer 50 
 
how often sho...
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Add to cartWoman should have the choice for yearly mammograms if they wish at what age? - Answer 40-44 
 
age for when woman should get mammograms yearly - Answer 45-54 
 
age for mammograms every 2 years - Answer 55+ 
 
At what age should woman and men begin colon testing? - Answer 50 
 
how often sho...
Oxygen toxicity signs and symptoms - Answer substernal discomfort, paresthesias, dyspnea, restlessness, fatigue, malaise, progressive respiratory difficulty, refractory hypoxemia, alveolar atelectasis, and alveolar infiltrates evident on chest x-rays. Manifestations similar to ARDS. 
 
oxygen toxi...
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Add to cartOxygen toxicity signs and symptoms - Answer substernal discomfort, paresthesias, dyspnea, restlessness, fatigue, malaise, progressive respiratory difficulty, refractory hypoxemia, alveolar atelectasis, and alveolar infiltrates evident on chest x-rays. Manifestations similar to ARDS. 
 
oxygen toxi...
atrial fibrillation - Answer rapid, random, ineffective contractions of the atrium 
 
Atrial Flutter - Answer irregular beating of the atria; often described as "a-flutter with 2 to 1 block or 3 to 1 block" 
 
normal sinus rhythm - Answer heart rhythm originating in the sinoatrial node with ...
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Add to cartatrial fibrillation - Answer rapid, random, ineffective contractions of the atrium 
 
Atrial Flutter - Answer irregular beating of the atria; often described as "a-flutter with 2 to 1 block or 3 to 1 block" 
 
normal sinus rhythm - Answer heart rhythm originating in the sinoatrial node with ...
Aneurysm - Answer Permanent dilation of an artery to at least two times it's normal diameter 
 
Most common artery for aneurysm - Answer Abdominal aorta between the renal arteries and the aortic bifurcation 
 
Saccular aneurysm - Answer our pouching --> specific portion of the vessel 
 
Fu...
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Add to cartAneurysm - Answer Permanent dilation of an artery to at least two times it's normal diameter 
 
Most common artery for aneurysm - Answer Abdominal aorta between the renal arteries and the aortic bifurcation 
 
Saccular aneurysm - Answer our pouching --> specific portion of the vessel 
 
Fu...
What is preload? - Answer the volume/pressure of the blood returning and filling the heart 
 
What is afterload? - Answer the pressure the left ventricle must overcome to eject its blood (more resistance=more afterload) 
 
Decreases preload: inhibits Na+ reabsorption thereby promoting fluid loss...
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Add to cartWhat is preload? - Answer the volume/pressure of the blood returning and filling the heart 
 
What is afterload? - Answer the pressure the left ventricle must overcome to eject its blood (more resistance=more afterload) 
 
Decreases preload: inhibits Na+ reabsorption thereby promoting fluid loss...
Angiotensin-Converting Enzyme Inhibitors (ACE Inhibitors) 
Drugs - Answer Enalapril 
Lisinopril 
Catopril 
(end in "PRIL") 
 
ACE Inhibitor Actions and Effects - Answer Decrease after load and BP 
 
Inhibits the enzyme that converts angitensin I to angiotensin II 
 
Vasodilation 
Prevents effe...
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Add to cartAngiotensin-Converting Enzyme Inhibitors (ACE Inhibitors) 
Drugs - Answer Enalapril 
Lisinopril 
Catopril 
(end in "PRIL") 
 
ACE Inhibitor Actions and Effects - Answer Decrease after load and BP 
 
Inhibits the enzyme that converts angitensin I to angiotensin II 
 
Vasodilation 
Prevents effe...
Characteristics of Normal Sinus - Answer Rate: 60-100 
Regular 
Present and upright P waves 
QRS present and upright <= to 0.10sec 
1:1 P:QRS 
PR interval is <=0.20sec 
 
Characteristics of sinus tach - Answer Rate 100-150 
 
characteristics of sinus brady - Answer Rate <60 
 
Charact...
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Add to cartCharacteristics of Normal Sinus - Answer Rate: 60-100 
Regular 
Present and upright P waves 
QRS present and upright <= to 0.10sec 
1:1 P:QRS 
PR interval is <=0.20sec 
 
Characteristics of sinus tach - Answer Rate 100-150 
 
characteristics of sinus brady - Answer Rate <60 
 
Charact...
When collecting an ABG what test is performed before using the radial artery - Answer Allen's Test, we want to make sure the ulnar artery has proper circulation before using the radial artery. 
 
What are the normal values for pH, PCO2, HCO3 - Answer pH: 7.35 - 7.45 
PCO2: 35 - 45 
HCO3: 22 - 2...
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Add to cartWhen collecting an ABG what test is performed before using the radial artery - Answer Allen's Test, we want to make sure the ulnar artery has proper circulation before using the radial artery. 
 
What are the normal values for pH, PCO2, HCO3 - Answer pH: 7.35 - 7.45 
PCO2: 35 - 45 
HCO3: 22 - 2...
Most SCI occur from what? - Answer Bruising of spinal cord 
Loss of blood flow (ischemia) to the cord 
 
Five mechanisms of injury (SCI) - Answer Hyperflexion 
Hyperextension 
Vertebral Compression 
Rotation 
Penetrating Injuries 
 
Hyperflexion - Answer Head is accelerated FORWARD, compressio...
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Add to cartMost SCI occur from what? - Answer Bruising of spinal cord 
Loss of blood flow (ischemia) to the cord 
 
Five mechanisms of injury (SCI) - Answer Hyperflexion 
Hyperextension 
Vertebral Compression 
Rotation 
Penetrating Injuries 
 
Hyperflexion - Answer Head is accelerated FORWARD, compressio...
Which clinical manifestations are most likely to be seen in a client with diabetes mellitus? - Answer Fatigue, Excessive thirst, Increased urine output 
 
The RN is teaching a client with diabetes mellitus about the diet to be followed for maintenance of the disease. Which statement made by the cl...
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Add to cartWhich clinical manifestations are most likely to be seen in a client with diabetes mellitus? - Answer Fatigue, Excessive thirst, Increased urine output 
 
The RN is teaching a client with diabetes mellitus about the diet to be followed for maintenance of the disease. Which statement made by the cl...
Chest tube insertion site monitoring - Answer check for pain, redness, infection & subcutaneous crepitus 
 
Chest tube bedside equipment - Answer occlusive dressing, sterile water, and two enclosed hemostat clamps. AT ALL TIMES 
 
Expected findings in a chest tube assessment - Answer gentle...
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Add to cartChest tube insertion site monitoring - Answer check for pain, redness, infection & subcutaneous crepitus 
 
Chest tube bedside equipment - Answer occlusive dressing, sterile water, and two enclosed hemostat clamps. AT ALL TIMES 
 
Expected findings in a chest tube assessment - Answer gentle...
How would you triage in a disaster? - Answer "Do greatest good for greatest number" 
 
Regular triage - Answer Critical to unstable 
 
What 3 things do you assess for START triage - Answer Ventilation 
Perfusion 
Mental Status 
 
30-2-can do 
 
How much time triaging victim? - Answer 60 se...
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Add to cartHow would you triage in a disaster? - Answer "Do greatest good for greatest number" 
 
Regular triage - Answer Critical to unstable 
 
What 3 things do you assess for START triage - Answer Ventilation 
Perfusion 
Mental Status 
 
30-2-can do 
 
How much time triaging victim? - Answer 60 se...
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