NUR 213 Mock Final (with A+ Graded answers)

Nurse is the ED is admitting a Pt. who is lethargic and unable to complete sentences. HR 34, BP 93/48. Nurse applied electrodes to Pt's chest and limbs and the ECG shows complete heart block. Which of the following actions should the nurse take first? A) Transport Pt. to cath lab B) Prepare Pt. for insertion of a transvenous pacemaker C) Active the emergency resopnse system and prepare to perform CPR D) Apply transcutaneous pacemaker pads correct answers D - Pt has inadequate CO and tissue perfusion. Pt needs to be externally paced. Nurse caring for Pt with diabetic nephropathy. Nurse understands that which of the following is the primary indication for hemodialysis in a Pt. with chronic renal failure? A) Ascites B) Alkalosis C) HoTN D) Serum Creat 8 mg/dL correct answers D - kidneys can't maintain proper K+, can lead to dysrthymias. Pt. needs HD to excrete excess K+ Which of the following is a late sign of hypoxemia? SATA A) Elevated BP B) Confusion C) Tachycardia D) Cardiac dysrhythmias E) Flushed skin correct answers B, D Confusion d/t reduced O2 to brain, dysrthymias occur when body switches to anaerobic metabolism A - low BP C - bradycardia (tachy is early hypoxemia) E - cyanosis Nurse on cardiac unit assessing Pt who is on tele and has HR 46. Nurse anticipates which of the following treatments? A) Defibrillation B) Pacemaker insertion C) Synchronized cardioversion D) Administration of propranolol correct answers B - need to increase HR A - used for VFib or pulseless VTach C - Tachy dysrhythmias, AFib, SVT or VTach with pulses D - For Tachy