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Ccrn Aacn Practice Questions And Correct Answers

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Ccrn Aacn Practice Questions And Correct Answers A patient with a history of bronchogenic carcinoma is admitted with respiratory failure. the patient is intubated and on mechanical ventilation. the patient develops lethargy, headache, slight confusion and abdominal cramping urinary output is de...

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  • October 15, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AACN
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Ccrn Aacn Practice Questions And Correct
Answers




A patient with a history of bronchogenic carcinoma is admitted with respiratory failure. the

patient is intubated and on mechanical ventilation. the patient develops lethargy, headache, slight

confusion and abdominal cramping urinary output is decreasing and significant lab data includes

Serum Na+ 127

Serum osmolality 270


urine specific gravity elevated - answer✔Initiation of fluid restriction -


this pt has risk factors signs and symptoms of SIADH

fluid restriction slows glomerular filtration and blood flow enhances proximal reabsorption of

sodium and water increases aldosterone secretion and enhances distal tubule sodium

reabsorption. chemo may alleviate some of the water retention caused by some cancers but non

will completely inhibit ADH secretions. three percent saline administration in severe case only

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
A pt is being admitted in HHS with dehydration and a serum glucose level of 836 mg/dl. Which

additional laboratory findings should the nurse anticipate? - answer✔> elevated BUN > Elevated

creatinine >elevated osmolality




HHNS - Hyperosmolar hyperglycemic nonketonic state

A 49 year old patient male recently admitted with an inferiors wall MI resulting from 100%

occlusion of the right coronary artery (RCA). The 12 lead ECG reveals ST elevation in leads 11,

111, and aVf. you would expect to see reciprocal changes in which leads? - answer✔1 and aVL

the RCA perfuses the inferior wall and the mirror image or reciprocal changes would be seen in

the the high lateral wall, which is reflected in leads 1 and avl on the 12 lead ECG. Lead v1 and

v2 correlate with the septal area, lead v 3 and v4 correlate with the anterior area of the heart

a patient is admitted following a MVA , Lab data reveal elevated creatinine phosphokinase and

myoglobin. What should the nurse anticipate? - answer✔Rhabdomyolysis -MVA is a risk factor

for rhabdomyolysis and lab data consistent with condition

a patient is admitted with pulmonary hypertension. What should lead the nurse to suspect

pulmonary fibrosis - answer✔dyspnea at rest


a patient is admitted 2 days ago with a large subdural hematoma has a rectal temp of 104. the

fever is treated with iv acetaminophen and ice packs. Two hours later the fever increased to

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