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NUR 2115 ( LATEST 2024 / 2025 ) EXAM 4 | COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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NUR 2115 ( LATEST 2024 / 2025 ) EXAM 4 | COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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NUR 2115 Exam 41. how to calculate cardiac output
Answer
CO = SV x HR
2. Mean Arterial Pressure (MAP)
Answer
MAP= SBP + 2(DBP) / 3 Normal= 70-105mmHg
Needs to be >65mmHg to perfuse ONLY the vital organs. THIS IS NOT NORMAL Use A line
to measure
3. Pulmonary Artery Catheter Pressures
Answer
PA pressures- (distal port) PAS= 15-30mmHg
PAD 8-15mmHg
4. SIRS
Answer
systemic inflammatory response syndrome. does not have to be associated with an infection.
5. SIRS criteria
,Answer
need 2 or more s/s
-temp >100.4, temp <96.8
-HR >90bpm
-RR >20 and /or PCO2 <32 (rapid breathing)
-WBC >12,000 or <4,000
6. WOTF is not criteria s/s for dx SIRS
1. RR > 20
2. HR <60
3. Temp >100.4
4. PaCO2 <32
Answer
2. HR <60 ANSWER
7. DIC
Answer
disseminated intravascular coagulation DEATH IS COMING
NO PERFUSION
They will have an increased D Dimer
8. DIC clinical presentation
Answer
Acute bleeding from multiple sites. Bleeding from everywhere. Organ dysfunction,
Thrombosis.
, 9. DIC nursing management
Answer
1. Occult blood testing of all fluids
2. avoid puncturing the pt.
3. Apply pressure 10-15 MIN for arterial puncture. 5MIN for venous puncture.
4. paper tape
5. No BP cuff. NEED AN A LINE
6. No rectal temp
7. gentle personal care
8. dec. pressure points
9. monitor pupils for changes- Could be cerebral bleed.
10. WOTF lab value is indicative of DIC
1. dec PTT
2. inc Platelet
3. dec INR
4. inc FDP (fibrin degradation product)
Answer
4. inc FDP (fibrin degradation product) ANSWER
11. hypovolemic shock
Answer
TANK PROBLEM inadequate fluid volume in the space
12. cardiogenic shock
Answer
PUMP PROBLEM
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