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PCCN 2024 Test Solved 100% Correct
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PCCN 2024 Test Solved 100% Correct PCCN 2024 Test Solved 100% Correct
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PCCN 2024 TEST PCCN 2024 Test Solved 100% Corr ect A 56-Year-Old Suffered A Cardiopulmonary Arrest & Received 45 Minutes Of Chest Compressions. He Has Recovered, But Has Severe Short Term Memory Loss. On Day 3 Of His Hospital Stay, You Notice His Urine Drainage Bag Is Suddenly Full. The Urine Is Clear Without Color. He Continues With Uop Of 700 -1000 Ml Per Hour X 2 Hours. Which Of The Following Assessment Findings Would You Expect? A. Serum Sodium Level Of 126 B. SERUM OSMOLALITY OF 320 C. Urine Specific Gravity Of 1.025 D. Serum Potassium Of 3.5 (The Profound Dehydration Will Lead To An Elevated Serum Osmolality In Diabetes Insipidus Because Of The Water Loss. In Diabetes Insipidus There Is A Lack Of Adh. The Sodium Level May Elevate While The Urine Specific Gravity Will Drop Due To Dilutional Effects.) Earliest Signs Of Increased Intracranial Pressure (Icp) Include: A. Nystagmus B. DECREASED LEVEL OF CONSCIOUSNESS C. Slurred Speech D. Unequal Pupils You Administer Albuterol Nebulizers To A Patient Having An Asthmatic Exacerbation. Their Initial Abg Was: Ph 7.45/Paco2 28/Pao2 142/Hco3 22. An Ominous Sign Of Impending Respiratory Failure Includes: A. Respiratory Alkalosis B. HYPERCAPNIA C. Hypoxemia D. Metabolic Acidosis PCCN 2024 TEST Kupchik, Nicole . Ace The Pccn®! You Can Do It! Practic e Review Questions (P. 94). Kindle Edition. (In Acute Asthma Exacerbation, Hypercapnia Or Elevated Paco2 Is An Ominous Sign And Indicates The Patient Is Becoming Fatigued And Going Into Acute Respiratory Failure.) 30. You Are Caring For A Patient Diagnosed With Nephrogenic Diabetes Insipidus. Which Of The Following Correctly Identifies The Cause Of This Disorder? A. Insufficient Insulin Production B. Ingestion Of Excessive Amount Of Water Resulting In Suppression Of Vasopressin Release C. THE KIDNEYS ARE NOT RESPONDING APPROPRIATELY TO VASOPRESSIN (ADH) D. Deficiency Of Vasopressin Production Secondary To Damage To The Posterior Pituitary (Diabetes Insipidus (Di) Occurs When An Individual Has A Deficiency Or Insensitivity T o Vasopressin (Adh). There Are Three Types Of Di: Neurogenic Di, Nephrogenic Di, And Dipsogenic Di. Neurogenic Di Occurs When There Has Been Damage To The Posterior Pituitary Resulting In A Deficiency Of Vasopressin. Nephrogenic Di Occurs When The Kidneys Are Not Adequately Responding To Vasopressin. Dipsogenic Di Occurs When There Is Excessive Ingestion Of Water, Which Suppresses Vasopressin Release, Which Leads To Polyuria. Diabetes Mellitus Type 1 Occurs From Insufficient Insulin Production By Pancreatic Beta Cells.) The Surviving Sepsis Guidelines Recommend ________________________ As The First Line Vasopressor For Hypotension That Is No Longer Responsive To Fluids. NOREPINEPHRINE (LEVOPHED) ________________________ Is A Potent Vasoconstric tor That Has Been Found Effective In Refractory Hypotension, But Is Not The First Line Drug Therapy For Hypotension In Septic Shock. VASOPRESSIN Intravenous _____________ Keep The Kidneys Flushed To Prevent Renal Tubule Damage From Contrast Material. FLUIDS PCCN 2024 TEST With A _______________ Skull Fracture, Improper Insertion Of An Ng Tube Can Result In Cannulation Of The Brain. Insertion Of Any Type Of Tube (Ng, Feeding, Suction) Should Be Avoided Or Performed By A Provider Using Fluorosc opy. BASILAR Beta Blockers _________________ Myocardial Oxygen Consumption. Decrease Pharmaceutical Management Of Hypertrophic Cardiomyopathy Should Include: A. METOPROLOL (LOPRESSOR) B. Furosemide (Lasix) C. Digoxin (Lanoxin) D. Nitroprusside (Nipride) (Beta -Blockers Help By Slowing The Heart Rate To Maximize Diastolic Filling Time. In Addition, Beta Blockers Decrease Myocardial Oxygen Consumption By Decreasing Contractility. Diuretics Decrease Cardiac Output By Decreasing Filling Pressures In The Hypertrophic Ventricles. Inotropes, And Vasodilators Are Typically Used In Dilated Cardiomyopathy To Strengthen Contractions And Control Fluid Volumes; In Hypertrophic Cardiomyopathy They May Contribute To Left Ventr icular Outflow Obstruction.) When Administering Vasoactive Drugs, Which Of Following Parameters Most Accurately Estimates End -Organ Perfusion? A. URINARY OUTPUT, LACTATE, SCVO2 B. Pulse, Urinary Output, Strength Of Pulses C. Blood Pressure, Respiratory Rate , St Depression On 12 Lead Ecg D. Urinary Output, White Blood Cell Count, Temperature 41. While Assessing A Patient, The Rn Notes A Systolic Ejection Murmur, Split S2, And Rales. These Findings Are Consistent With:The benefits of buying summaries with Stuvia:
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