Advanced Med Surg II RN Critical Alterations In Pe
Advanced Med Surg II RN Critical Alterations in Pe
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Advanced Med Surg II RN Critical Alterations in Perfusion Assessment 2024 ACTUAL EXAM QUESTIONS A
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Advanced Med Surg II RN Critical Alterations In Pe
The nurse is assessing a patient for heart failure. Which findings would indicate decreased cardiac output and a potential for fluid overload from heart failure? - Orthopnea, peripheral edema, crackles
The healthcare provider is preparing to insert a swan into a patient. The nurse realizes this mo...
Advanced Med Surg II RN Critical
Alterations in Perfusion Assessment 2024
ACTUAL EXAM QUESTIONS A
The nurse is assessing a patient for heart failure. Which findings would indicate
decreased cardiac output and a potential for fluid overload from heart failure? -
Orthopnea, peripheral edema, crackles
The healthcare provider is preparing to insert a swan into a patient. The nurse realizes
this monitoring device is used for all of the following except: - Continuously monitoring
the blood pressure
A patient with a right subclavian triple lumen catheter has a CVP reading of 18mmHg.
The nurse would further assess the patient for symptoms of: - Peripheral edema and
jugular vein distention
What action would be most helpful to the nurse in determining whether the chest pain of
a patient who has just entered the ED is cardiac in origin? - Performing a 12 lead EKG
A patient arrives in the emergency department for chest pain, light-headedness, and
shortness of breath (SOB). The cardiac monitor shows sinus rhythm with the presence
of multifocal PVCs. Which order would the nurse question? - Atropine 0.5 mg IV
What is the most appropriate position for a patient in pulmonary edema with a blood
pressure of 194/92? - Sitting upright with legs dependent
A patient is experiencing sinus bradycardia with hypotension and dizziness. Which of
the following listed drugs should the nurse prepare to administer. - Atropine
A patient undergoes emergency CABG surgery after failed thrombolysis and a
percutaneous coronary intervention (PCI) in which coronary artery dissection occurred.
Prior to surgery, the patient was alert and able to give verbal consent. Mediastinal and
pleural chest tubes are present with moderate drainage. Moderate oozing is also
present at the sternotomy and saphenous vein graft incisions and at the right groin
sheath site. The patient has a PA catheter, an NG tube, and a urinary catheter in place.
Frequent assessments by the nurse for this patient should include which of the
following? - Hourly groin palpation and neurovascular checks of the leg used for PCI
A patient with a PA (Swan) catheter has an SVO2 of 90%. The nurse should assess the
patient for: - hypothermia
, What should the nurse monitor in response to a change in SVO2 readings? -
hemoglobin
A patient with sepsis is in the ICU, and has a PA catheter. The mixed venous oxygen
saturation (SvO2) is 86%. The patient's SaO2 is 92%, and temperature is 96.2 F. Which
is the nurse's primary intervention? - Apply warm blankets to the patient because they
are not extracting enough oxygen at the tissue level to avoid anaerobic metabolism and
subsequent acidemia.
An 80-year-old woman has arrived in the emergency department. The health care
provider is questioning whether she has had an MI although she is not displaying the
classic chest pain. Which symptoms would more likely occur in this patient than others
because of the patient's gender and age? - Generalized fatigue accompanied by
dyspnea and diaphoresis
The nurse wants to assess the oxygenation status of a patient who has been
experiencing a GI bleed. How will the nurse complete this assessment? - Check the
pulse oximetry and send a blood sample for arterial blood gas analysis
After receiving a total of three Nitroglycerin sublingual tablets, a patient admitted to the
hospital with complaints of chest pain states there is no change in the level of
discomfort. What will the nurse do next? - Notify the healthcare provider
A nurse is preparing to administer the first 5 mg dose of Metoprolol to a patient who is
12 hours post MI. For which assessment finding should the nurse withhold
administration of the medication? - sinus brady 48 bpm
Atrial fibrillation is characterized by all the following EXCEPT: - sawtooth or picket fence
waves
What is the PRIORITY assessment for a patient experiencing atrial fibrillation with a
rapid ventricular response? - assessing for shortness of breath
A patient's cardiac catheterization has shown an 80% blockage of the right coronary
artery (RCA). While waiting for bypass surgery, what is essential to have on hand? - an
external pacemaker
A patient with sepsis is in the ICU, and has a PA catheter. The mixed venous oxygen
saturation (SvO2) is 86%. The patient's SaO2 is 92%, and temperature is 96.2 F. Which
is the nurse's primary intervention? - Apply warm blankets to the patient because they
are not extracting enough oxygen at the tissue level to avoid anaerobic metabolism and
subsequent acidemia.
Nursing interventions for the patient with sinus tachycardia include which of the
following? - Remove or treat the underlying cause, such as fever, pain, or anxiety.
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