ATI med surg Final Exam Latest Updated 2024
A patient is admitted with a diagnosis of Bradydysrhythmia. What assessment finding requires immediate intervention? - ANSWER-The patient reports weakness and fatigue
Following insertion of a permanent pacemaker, a patient states they cannot get rid...
A patient is admitted with a diagnosis of Bradydysrhythmia. What assessment
finding requires immediate intervention? - ANSWER-The patient reports weakness
and fatigue
Following insertion of a permanent pacemaker, a patient states they cannot get
rid of these hiccups. Why is this potentially a problem? - ANSWER-Hiccups may
indicate that the pacemaker is stimulating the chest wall or diaphragm. This could
indicate a complication such as lead wire perforation
Chapter 27 - ANSWER-
What is the normal range for creatine kinase? When are elevated levels first
detectable after myocardial injury and what is expected duration of the elevated
levels? - ANSWER-30 to 170 units/L, 4 to 6 hours, 3 days
What is the normal range for troponin T? When are elevated levels first detectable
after myocardial injury and what is expected duration of the elevated levels? -
ANSWER-Less than 0.2 ng/L, 3 to 5 hours, 14 to 21 days
,What is normal range for troponin I? When are elevated levels first detectable
after myocardial injury and what is expected duration of the elevated levels? -
ANSWER-Less than 0.03, three hours, 7 to 10 days
What is normal range for myoglobin? When are elevated levels first detectable
after myocardial injury and what is expected duration of the elevated levels? -
ANSWER-Less than 90 mcg/L, two hours, 24 hours
What is normal range for cholesterol, HDL, LDL - ANSWER-Less than 200, above
40, less than 130
What is the desired INR range for people taking warfarin - ANSWER-2.0-3.0
What is an indicator of cardiac tamponade - ANSWER-Blood pressure is 10 MM HG
or higher on expiration then on inspiration
Patients scheduled for a coronary artery bypass graft should not take
anticoagulants for at least blank prior to the surgery to prevent excessive
bleeding - ANSWER-A week
,While an echocardiogram is being performed what side should the patient lie on? -
ANSWER-Left side and remain still
What are indications for an echocardiogram - ANSWER-Cardiomyopathy
Heart failure
Angina
Myocardial infarction
What are indications for stress test - ANSWER-Dysrhythmias
HF
Angina
MI
What are two medications that are prescribed for pharmacological stress test -
ANSWER-Dobutamine
Adenosine
What do you instruct the patient to do 2 to 4 hours before a stress test - ANSWER-
Avoid tobacco, alcohol and caffeine
, Hemodynamic monitoring involves special indwelling catheters that provide
information about blood volume and perfusion, fluid status and how well the heart
is pumping. Arterial lines are placed in the radial (most common), brachial or
femoral artery. What should you Monitor for? - ANSWER-Monitor circulation in the
limb with the arterial line. Such as capillary refill, temperature, color. Arterial
lines are not used for IV fluid administration
The pulmonary artery (PA) catheter is inserted into a large vein (internal jugular,
femoral, subclavian, brachial) and threaded through the right atria and ventricles
into a branch of the pulmonary artery. PA catheters have multiple lumens, ports
and components that allow for various hemodynamic measurements, blood
sampling and - ANSWER-Infusion of IV fluids
What are the different lumens used for? - ANSWER-
What is the expected reference range for CVP (Central venous pressure) -
ANSWER-1 to 8 MM HG
What is the expected reference range for pulmonary artery systolic (PAS) -
ANSWER-15 to 26
What is the expected range for pulmonary artery diastolic (PAD) - ANSWER-5 to 15
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