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NUR 204 Med Surg Final Practice Exam Questions And All Correct Answers.
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What are examples of Na Channel Blockers? - Answer Lidocaine and Mexiletine. What are Na Channel Blockers used for? - Answer Ventricular dysrhythmias. Nursing interventions for Na Channel Blockers? - Answer Monitor HR and BP. Hold medication if SBP< 100 to HR <60. What are e...

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  • October 5, 2024
  • 118
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NUR 204 Med Surg Final Practice Exam
Questions And All Correct Answers.
What are examples of Na Channel Blockers? - Answer Lidocaine and Mexiletine.



What are Na Channel Blockers used for? - Answer Ventricular dysrhythmias.



Nursing interventions for Na Channel Blockers? - Answer Monitor HR and BP. Hold medication if SBP<
100 to HR <60.



What are examples of Beta Blockers? - Answer Propanolol, Metoprolol, and Sotalol.



What are Beta Blockers used for? - Answer Fast HR- Atrial, SVT, and Ventricular (not first line for
ventricular).



Nursing interventions for Nonselective Beta Blockers? - Answer Monitor HR and BP. Hold medication if
SBP< 100 to HR <60. Will also effect lungs and cause bronchoconstriction. Will mask s/s of hypoglycemia.



Nursing interventions for Selective Beta Blockers? - Answer Monitor HR and BP. Hold medication if
SBP< 100 to HR <60. No effect on lungs. Will mask s/s of hypoglycemia.



What are examples of K Channel Blockers? - Answer Amiodarone and Droneadarone.



What are K Channel Blockers used for? - Answer Ventricular dysrhythmias.



Nursing interventions for K Channel Blockers? - Answer Monitor HR and BP. Hold medication if SBP<
100 to HR <60.



What are examples of Ca Channel Blockers? - Answer Verapamil and Diltiazem.

,What are Ca Channel Blockers used for? - Answer Atrial dysrhythmias.



Nursing interventions for Ca Channel Blockers? - Answer Monitor HR and BP. Hold medication if SBP<
100 to HR <60. Make sure patient does not consume grapefruit juice.



What is Digoxin used for? - Answer Fast HR (A-fib) for patient with heart failure.



Nursing interventions for Digoxin? - Answer Digoxin therapeutic level: 0.5 - 2.0. Toxicity can occur > 2.0;
S/S: see/puke/poop green. Hypokalemia increases risk for toxicity. CHECK APICAL PULSE FOR 1 FULL
MINUTE- If its < 60, HOLD IT!



What is Atropine Sulfate used for? - Answer Bradycardia.



Nursing Interventions for Atropine Sulfate? - Answer Monitor the HR before, during, and after.



What is Adenosine used for? - Answer Chemical cardioverter- Stable/certain unstable tachycardia with
a pulse.



Nursing intervention for Adenosine? - Answer Rapid IVP follow by slammed flush. Have crash cart on
hand. Monitor continuous EKG.



What is Magnesium Sulfate used for? - Answer Ventricular dysrhythmias that are due to magnesium
deficiency.



Nursing Interventions for Magnesium Sulfate? - Answer Monitor magnesium level.



Sinus Bradycardia - Answer



Sinus Rhythm - Answer



Sinus Tachycardia - Answer

,Atrial Fibrillation - Answer



Atrial Flutter - Answer



Idioventricular Rhythm - Answer



Ventricular Tachycardia - Answer



Ventricular Fibrillation - Answer



Asystole - Answer



Premature Atrial Contraction (PAC) - Answer



Premature Ventricular Contraction (PVC) - Answer



A Pacing - Answer



V Pacing - Answer



AV Pacing - Answer



An emergency room nurse assesses a client who has been raped. With which health care team member
should the nurse collaborate when planning this clients care?



A) Emergency medicine physician.

B) Case manager.

C) Forensic nurse examiner.

, D) Psychiatric crisis nurse. - Answer C, Forensic nurse examiner.



The emergency department team is performing cardiopulmonary resuscitation on a client when the
clients spouse arrives at the emergency department. Which action should the nurse take first?



A) Request that the clients spouse sit in the waiting room.

B) Ask the spouse if he wishes to be present during the resuscitation.

C) Suggest that the spouse begin to pray for the client.

D) Refer the clients spouse to the hospitals crisis team. - Answer B, Ask the spouse if he wishes to be
present during the resuscitation.



An emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care
first?



A) A 30-year-old distraught mother holding her crying child.

B) A 65-year-old conscious male with a head laceration.

C) A 26-year-old male who has pale, cool, clammy skin.

D) A 48-year-old with a simple fracture of the lower leg. - Answer C, A 26-year old male who has pale,
cool, clammy skin.



While triaging clients in a crowded emergency department, a nurse assesses a client who presents with
symptoms of tuberculosis. Which action should the nurse take first?



A) Apply oxygen via nasal cannula.

B) Administer intravenous 0.9% saline solution.

C) Transfer the client to a negative-pressure room.

D) Obtain a sputum culture and sensitivity. - Answer C, Transfer the client to a negative-pressure room.



A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to
receive care first?

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