Exam (elaborations)
NURS 420 Quiz -2 2024/2025 ;100% complete newest version guide (verified)
- Course
- Institution
NURS 420 Quiz -2 2024/2025 ;100% complete newest version guide (verified)
[Show more]
Content preview
NURS 420 Quiz #2- ANS-A patient has a CVP of 2 (low) what would you anticipate doing first?
A)Give IV Lasix STAT
B)Give several liters of NSS
C)Administer 1 unit of blood
D)Nothing and monitor urine output
a and c
Rationale: CVP should be anywhere from 2-6. CVP 10 is too high. - ANS-A CVP of 10 could
indicate... (Select all that apply)
a. Volume overload
b. Hypovolemia
c. Vasoconstriction
d. Vasodilation
a, b, and c - ANS-Uh-oh! Your patient's ventilator is sounding a high pressure alarm. What
should the nurse assess for (Select all that apply)
a. Secretions that need to be suctioned
b. Kink in tubing
c. Patient fighting the ventilator
d. Tube or cuff displacement or failure
e. Air leak
A, B, and D - ANS-Decreased preload is associated with which of the following shock states?
(Select all that apply)
A.Hypovolemic
B.Septic
C.Cardiogenic
D.Neurogenic
a, b, c, and e
Rationale: Can only measure arterial BP with an A line - ANS-What can you measure with a PA
catheter? (Select all that apply)
a. CVP
, b. Pulmonary Artery Pressure
c. PCWP/PAOP
d. Arterial Blood Pressure
e. Cardiac Output
a, c, and d - ANS-Your patient has been admitted with Pneumonia. Their ventilator settings read
A/C tV350ml- 15- 60%- +3PEEP. Which of the following statements is true? Select all that apply
a. The mode is Assist/Control
b. The respiratory rate is 14
c. The patient can initiate breaths on their own and they will get 350ml
d. The patient will get no fewer than 15 breaths per minute
a. Acute myocardial infarction - ANS-What is the most common cause of cardiogenic shock?
a. Acute myocardial infarction
b. Cardiopulmonary arrest
c. Prolonged septic shock
d. Acute myocarditis
a. Decreasing afterload
Rationale: The goal of therapy is to increase cardiac output by decreasing preload and afterload
and increasing contractility. Increasing myocardial workload, preload, and systemic vascular
resistance (SVR) would worsen cardiogenic shock. - ANS-The nurse is developing a care plan
for the patient in cardiogenic shock. What is the goal for therapy?
a. Decreasing afterload
b. Increasing systemic vascular resistance (SVR)
c. Increasing myocardial workload
d. Increasing preload
a. Dobutamine - ANS-The nurse identifies that a patient in cardiogenic shock has poor
contractility. What medication should the nurse request when completing a Situation,
Background, Assessment, Recommendation (SBAR) communication to the provider?
a. Dobutamine
b. Nitroglycerin
c. Phenylephrine
d. Vasopressin
a. Failure to Sense - ANS-What type of pacing is displayed on a rhythm strip that shows a spike
in the middle of a P wave and another spike before a T wave?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TUTORSON. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now