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NURS 420 Quiz -2 2024/2025 ;100% complete newest version guide (verified)
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NURS 420 Quiz -2 2024/2025 ;100% complete newest version guide (verified)
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NURS 420 Quiz #2- ANS-A patient has a CVP of 2 (low) what would you anticipate doing first?
A)Give IV Lasix STAT
B)Give several liters of NSS
C)Administer 1 unit of blood
D)Nothing and monitor urine output
a and c
Rationale: CVP should be anywhere from 2-6. CVP 10 is too high. - ANS-A CVP of 10 could
indicate... (Select all that apply)
a. Volume overload
b. Hypovolemia
c. Vasoconstriction
d. Vasodilation
a, b, and c - ANS-Uh-oh! Your patient's ventilator is sounding a high pressure alarm. What
should the nurse assess for (Select all that apply)
a. Secretions that need to be suctioned
b. Kink in tubing
c. Patient fighting the ventilator
d. Tube or cuff displacement or failure
e. Air leak
A, B, and D - ANS-Decreased preload is associated with which of the following shock states?
(Select all that apply)
A.Hypovolemic
B.Septic
C.Cardiogenic
D.Neurogenic
a, b, c, and e
Rationale: Can only measure arterial BP with an A line - ANS-What can you measure with a PA
catheter? (Select all that apply)
a. CVP
, b. Pulmonary Artery Pressure
c. PCWP/PAOP
d. Arterial Blood Pressure
e. Cardiac Output
a, c, and d - ANS-Your patient has been admitted with Pneumonia. Their ventilator settings read
A/C tV350ml- 15- 60%- +3PEEP. Which of the following statements is true? Select all that apply
a. The mode is Assist/Control
b. The respiratory rate is 14
c. The patient can initiate breaths on their own and they will get 350ml
d. The patient will get no fewer than 15 breaths per minute
a. Acute myocardial infarction - ANS-What is the most common cause of cardiogenic shock?
a. Acute myocardial infarction
b. Cardiopulmonary arrest
c. Prolonged septic shock
d. Acute myocarditis
a. Decreasing afterload
Rationale: The goal of therapy is to increase cardiac output by decreasing preload and afterload
and increasing contractility. Increasing myocardial workload, preload, and systemic vascular
resistance (SVR) would worsen cardiogenic shock. - ANS-The nurse is developing a care plan
for the patient in cardiogenic shock. What is the goal for therapy?
a. Decreasing afterload
b. Increasing systemic vascular resistance (SVR)
c. Increasing myocardial workload
d. Increasing preload
a. Dobutamine - ANS-The nurse identifies that a patient in cardiogenic shock has poor
contractility. What medication should the nurse request when completing a Situation,
Background, Assessment, Recommendation (SBAR) communication to the provider?
a. Dobutamine
b. Nitroglycerin
c. Phenylephrine
d. Vasopressin
a. Failure to Sense - ANS-What type of pacing is displayed on a rhythm strip that shows a spike
in the middle of a P wave and another spike before a T wave?
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