NUR 445 FINAL EXAM | QUESTIONS AND ANSWERS 100% ACCURATE
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Course
NUR 445.
Institution
NUR 445.
NUR 445 FINAL EXAM | QUESTIONS AND ANSWERS 100% ACCURATE
What medication is used to decrease ICP? - Mannitol
-osmotic diuretic
-reduces ICP by inducing diuresis (creates an osmotic gradient across the blood-brain barrier [BBB] and increased serum osmolality -> pulls fluid out of brain ...
NUR 445 FINAL EXAM | QUESTIONS AND
ANSWERS 100% ACCURATE
What medication is used to decrease ICP? - Mannitol
-osmotic diuretic
-reduces ICP by inducing diuresis (creates an osmotic gradient across the blood-brain
barrier [BBB] and increased serum osmolality -> pulls fluid out of brain cells and shifts it
into the intravascular compartment)
What medication would you plan on administering to a patient who is experiencing
bradycardia or heart block? - Atropine
-administer over 1 minute
-therapeutic effect desired = increased HR
-rapid administration may be used during cardiac resuscitation (follow with 20 mL saline
flush)
A patient suffering from a hypertensive crisis enters the ED. What medication is used to
treat this emergent situation? - Nitroprusside
-arteriole vasodilator
-rapidly lowers BP
-decreases preload and afterload
What is clonidine used for? - lowering of BP
Nitroprusside is the preferred agent if BP needs to be lowered quickly
What medication prevents the absorption of ammonia from the GI tract in order to treat
hepatic encephalopathy? - Lactulose
-expect more frequent bowel movements
-should see clearing of confusion, apathy, and irritation and improved mental status (24-
48 hours after oral administration)
Under what condition would you administer tPA? - patient that is suffering from an
ischemic stroke
What is mutual support? - assisting others
providing feedback
advocacy behaviors when patient safety is threatened
What is the difference between formal and informal feedback? - Formal should be
retrospective and scheduled in advance
, Informal occurs in real time and includes huddles/debriefs
Explain the phenomenon of alarm fatigue - Frequency of alarms becomes
overwhelming, resulting in delayed response to alarms and deliberate alarm
deactivation which may impact patient safety
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What ais athe anormal arate aof athe aSA anode, aAV anode, aand aventricular arate? a- a aSA a= a60-
100
AV a= a40-60
Ventricular a= a20-40
What ais athe anormal alength aof aa aP awave, aQRS acomplex, aand aQT ainterval? a- a aP a= a0.12-
0.20 asec
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-Unable ato ashock abecause ano aelectrical aactivity
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