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A patient has had a large anterior myocardial infarction last month and developed a ventricular aneurysm. He now has episodes of ventricular tachycardia that are not prevented or converted with antidysrhythmic agents. An implantable cardioverter-defibrillator (ICD) is implanted. Four days after surg...

A 59 year old male is admitted complaining of chest pain and dyspnea. ST elevation and T wave inversion were seen on the EKG in V2,V3 and V4. IV thrombolytic therapy was started in ED. Indications of successful reperfusion would include all of the following except: (A) pain cessation (B) decrease...

What is vasogenic cerebral edema? - Answer- Vasogenic cerebral edema is an increase in extracellular fluid caused by a breakdown of the blood-brain barrier with the resultant increase in vascular permeability. This cerebral edema begins locally and becomes more generalized. Common causes are trauma ...

To promote effective grieving in a 6-year-old sibling following the death of an infant, the nurse should: A) Recommend that the sibling not attend the infant's memorial service B) Encourage the parents to minimize their expression of grief with the sibling C) Explain to the sibling that the infa...

A patient in hyperosolar hyperglycemic state (HHS) is being admitted with dehydration and a serum glucose level of 836 mg/dL. Which of the following additional laboratory findings should the nurse anticipate? A. decreased BUN, decreased creatinine, and elevated serum osmolality B. decreased BU...

"high dose" dopamine causes vasoconstriction and (C) Increase afterload - Answer- What is the primary hemodynamic effect of: Dopamine >10 mcg/kg/min (A) Increase preload (B) Decrease preload (C) Increase afterload (D) Decreased afterload (E) Increase contractility (D) D...

Which of the following would be the earliest auscultatory finding in left ventricular failure (LVF)? A. Crackles B. S3 C. Murmur of mitral regurgitation D. Pericardial friction rub - Answer- B. S3 LVF would be the most subtle because early changes are usually subtle changes. Choose "S3." ...

A patient is in cardiac and respiratory arrest. The selection of medications to reestablish cardiac function would stimulate the sympathetic nervous system beta1 receptors. This stimulation would result in increased automaticity and which of the following? a. Increased myocardial contractility b....