Rasmussen College :NURSING BS 3463_120 questions Exam 3 Comprehensive Exam
120 questions
A client in the emergency department is having a stroke and the provider has prescribed the tissue plasminogen activator (t-PA) alteplase (Activase). The client weighs 146 pounds. How much medication will thi...
rasmussen college nursing bs 3463120 questions exam 3 comprehensive exam
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Rasmussen College :NURSING BS 3463_120 questions Exam 3
Comprehensive Exam
120 questions
A client in the emergency department is having a stroke and the provider has
prescribed the tissue plasminogen activator (t-PA) alteplase (Activase). The
client weighs 146 pounds. How much medication will this client receive? (Record
your answer using a whole number.) mg
60 mg
The dose of t-PA is 0.9 mg/kg with a maximum
dose of 90 mg. The client weighs 66.4 kg.
0.9 mg ´ 66.4 = 59.76 mg, which rounds to 60 mg.
Strips to know- V Tach, A-Fib, V-Fib,
• What is A-FIB? Atrium is like jello just jiggling back and forth
o How to treat
▪ Anticoagulant to prevent clots/thrombi
o Monitor-SOB, Palpitations, Anxiety, Diaphoresis, Confusion
o Safety at home-clear clutter, no throw rugs, fall preventions
o No P waves
o Narrow QRS
o Irregular-Irregular
o Decipher atrial and ventricle rate
o Concerned with clots
o If someone has cardiovascular disease it is not uncommon for them to
have A-Fib
,o
o Ventricular Tachycardia
▪ 3 or more PVC in a row or run
• Pre-Ventricular Contraction
o Originates below AV node
o Wider QRS, bizarre
o Do not include in rate
o Always has an underlying rhythm
▪ Beat greater then 100
o
o Ventricular Fibrillation
▪ Most common cause of hospital arrests
▪ Heart Rate 300-500
▪ Unable to determine anything-Chaotic-no normal wave forms
▪ Needs to be shocked back into rhythm
▪ No Pulse
▪ Digoxin toxicity is a big cause
,•
• What is a PAC
o Pre-Atrial Contraction
o Narrow QRS
o Originates from an ectopic focus
o Count in Heart Rate-it is a profusion beat
o Sometimes it can be caused by caffeine
o Not a concern unless client is not tolerating
o How to treat
o
• PVC has wide QRS (With underlying rhythm)
, •
Peaked T wave and reasons you may have a peaked T wave-
• Hyperkalemia
•
13 select all that apply
1. What does ectopic mean? Coming from somewhere other than
normal-premature ectopic beats
2. Reasons why you would have and EKG with premature ectopic beats?
Anxiety, meds, caffeine, smoking. Does not have anything to do with
vagal stimulation or foods with high potassium.
3. Bells Palsey-Know what medications that may be prescribed!
Medications that end in Lovir is what type of med? Acyclovir
A client has been diagnosed with Bell's palsy. About what drugs should the nurse
anticipate possibly teaching the client? (Select all that apply.)
a. Acyclovir (Zovirax)
b. Carbamazepine (Tegretol)
c. Famciclovir (Famvir)
d. Prednisone (Deltasone)
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