- Study guides, Class notes & Summaries

COMPLEX EXAM 3 AND STUDY GUIDE 170 QUESTIONS AND CORRECT ANSWERS LATEST VERSION//ALREADY GRADED A+ COMPLEX EXAM 3 AND STUDY GUIDE 170 QUESTIONS AND CORRECT ANSWERS LATEST VERSION//ALREADY GRADED A+

A client with gastroesophageal reflux disease (GERD) is prescribed famotidine (Pepcid). In order to provide effective teaching, the nurse must include which information about the action of the drug? It increases the gastric pH. It improves gastric motility. It coats the distal portion of the esophagus. It decreases the secretion of gastric acid. - It decreases the secretion of gastric acid. The client returns to the nursing unit post-operatively after a colostomy. Whi...

The nurse is performing an assessment of a client with a C3 spinal cord injury that occurred three days ago. Based on this information, what is the priority for this client? Blood Pressure 188/98 mmHg Heart Rate 56 bpm Flushed skin present Diaphoresis present A) Notify the health care provider of heart rate B) Lower the head of the bed C) Administer the prescribed IV fluids D) Administer prescribed antihypertensive D) Administer prescribed antihypertensive The nurse is caring...

ECG changes with hyperkalemia correct answers • Tall, peaked T-waves • Widened QRS complex, PVCs, Ventricular fibrillation, Cardiac standstill • Prolongation of the P wave & PRI • Flattens P wave (probably most common) or loss of P wave 2 drugs given as temporary solution to hyperkalemia correct answers • D50 W and IV Insulin - purpose to force K+ into cell • Calcium Chloride ECG Changes with hypokalemia correct answers • PVCs (early sign), bradycardia, ventricular tachyc...

A nurse is the only one in the ICU who has not achieved certification in critical care nursing. She often will ask her fellow nurses what to do in caring for a patient because she doubts the accuracy of her knowledge and her intuition. She loves her work but wishes she could do it with a greater level of competence. What is the most important effect that obtaining certification would likely have on the nurses practice? A) Recognition by peers B)Increase in salary and rank C)More flexibility i...

Serves as guidelines for critical care nurses, establishes goals for patient care. - Answer AACN Standards for Acute and Critical Care Nursing Practice What makes delirium different from dementia? - Answer Delirium is fast onset, acute in nature, and there is usually a cause to it. True or False: Delirium is associated with low rates of mortality and morbidity? - Answer False- it is associated with high rates of mortality and morbidity. 3 Types of Delirium and characteristics - An...

Beta blockers - Answer Lower HR by reducing blood pressure and opening blood flow to improve blood flow. Calcium channel blockers - Answer Lower B/P and HR by preventing calcium from entering the heart and blood vessel walls. Atropine - Answer Increases HR Dopamine - Answer Increases HR by improving blood flow Dobutamine - Answer Increases HR by helping the heart pump blood. What medications will the nurse use to treat decreased after load? - Answer Dopamine, epinephri...

When to call IDN - Answer vented patient with GCS of 5 or less, regardless of sedation, call within 1 hr, at first mention of any end-of-life discussions, before any terminal wean and/or withdrawal of support, within 1 hr of cardiac time of death, if family mentions donation Dobutamine - Answer agents strengthen cardiac contraction, increase cardiac output, inotropic drug Vasopressors - Answer they cause vasoconstriction, increase MAP, dopamine is most common, norepinephrine (levofed...

P wave - Answer Usually round & upright 0.06 to 0.12 seconds QRS complex - Answer normal duration 0.4 to 0.10 (one small box to 2.5 small boxes) PR interval - Answer normal duration 0.12 to 0.20 ST segment - Answer should be isoelectric the "J point" should come back to baseline 10 times method - Answer count the number of R waves in a 6 second strip and multiply by 10 Big block method - Answer Divide the number of big boxes between 2 consecutive R waves into 300 ...