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Quiz bank Adult II, CCN Midterm Questions With Complete Solutions!!
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Quiz bank Adult II, CCN Midterm Questions With Complete Solutions!!
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Name: Score:237 Multiple choice questions
,Term 1 of 237
normal value of SaO2 for ABG
-S&S- can be right-sided (cor pulmonale) or left-side of heart affected
S3 or S4 heart sounds
Shortness of breath
Fatigue, weakness
Tachycardia, arrhythmias
Cough, wheeze
Pink-tinged mucus
Peripheral edema
Chest pain
Crackles (left side)
-Diagnosis- slide 59 shows the 4 stages of heart failure
Stage 1 at risk of heart failure without symptoms
Stage 2 structural heart disease: asymptomatic
Stage 3 structural heart disease with prior or current symptoms mild ar moderate HF
Stage 4 refractory heart disease requiring specialized interventions severe HF symptomatic
at rest
BNP primary diagnostic test of HF- brain natriuretic peptide is a cardiac hormone that is
secreted by ventricular myocytes in response to wall stretch
-Treatment-always provide supplemental oxygen and adequate ventilation
First line drug choices:ACEI, ARBS, or BB
*Diuretics: spironolactone, lasix
*Consider inotropic meds:nesiritide, digoxin, milrinone, hydralazine, and amariodone
Nitrates
LVADS, intra ventricular pacing, IABP (balloon pump)
Fluids & electrolytes
DASH diet-foods less in Na and rich in K, Mg, and CA to help lower bp
Fruits, vegetables, and whole grains
Low fat or fat free dairy
Fish, poultry, beans and nuts
80-100
90-100
, measure and mark phlebostatic axis, zero the numbers on the monitor to atmospheric
pressure, turn stopcock to off and put sterile cap on stopcock
Transducer location aligned to patient
Patient should be in supine position with HOB no more than 20-30 degrees
For spontaneous breathing record PAOP and PAP at end-diastole and end expiration
For mechanical ventilation record PAP and PAOP during inhalation
Term 2 of 237
The nurse is caring for a patient with acute respiratory distress syndrome who is hypoxemic
despite mechanical ventilation. The physician orders a nontraditional ventilator mode as part of
treatment. Despite sedation and analgesia, the patient remains restless and appears to be in
discomfort. The nurse informs the physician of this assessment and anticipates an order for:
High pulmonary artery diastolic pressure and low cardiac output
resuscitative phase
atrial fibrillation.
neuromuscular blockade.
Term 3 of 237
A patient presents to the emergency department in acute respiratory failure secondary to
community-acquired pneumonia. The patient has a history of chronic obstructive pulmonary
disease. The nurse anticipates which treatment to facilitate ventilation?
Needle throacostomy and chest tube insertion
Noninvasive positive-pressure ventilation (NPPV)
ECG changes with ST-elevation
Elevated CK-MB isoenzymes
Elevated serum troponin levels
from some area in the atria other than the SA node.
, Definition 4 of 237
Oral hygiene Q2 to prevent infection
Knowing the high and low-pressure alarms
High: occlusion, cough, water in line, patient biting tube
Low: Anything that allows air to escape from system tubing lose or disconnected
Humoral immunity is mediated by:
Stable angina
Which statements related to the management of unstable angina are true? (Select all that
apply.)
Mechanical ventilator management
Term 5 of 237
The patient is admitted with an anterior wall myocardial infarction. With this diagnosis the nurse
would expect to see ST segment elevation in leads V2,V3,V4 and what complications?
The patient is at risk for developing hypovelemic shock
Uncompensated respiratory acidosis; hyperoxygenated
3rd degree heart block, heart failure, Left BBB
Decreasing PaO2 levels despite increased FiO2 administration
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