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CASAL II Med Surg Elsevier - Questions And Answers
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CASAL II Med Surg Elsevier - Questions And Answers
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CASAL II Med Surg Elsevier - Questions And AnswersWhich nursing intervention should be important when taking care of a patient
taking IV (intravenous) digoxin?
Select all that applies
Monitor the heart closely
Check digoxin levels
Administer dose over 1 minute
Monitor serum potassium
Give the medication with other infusing medications Right Ans - Monitor
the heart closely
Check digoxin levels
Monitor Seguin potassium
Low potassium level can cause toxictiy
Which part of the electrocardiogram is ventricle depolarization? Right Ans
- QRS
When admitting a patient for syncope and a electrocardiogram of sinus
bradycardia which medication would be administered? Right Ans -
Atropine
At your pain is an anticholinergic that increases the heart rate. Digoxin slows
heart rate (cardiac glycoside)
ECG can show patient with history of myocardial infarction... Right Ans - If
there has been any damage to the heart muscle
Which physiological response is the likely cause of a client developing
hydrocephalus 2 weeks after cranial surgery for a ruptured cerebral
aneurysm? Right Ans - Blocked absorption of fluid from the arachnoid
space
Residual blood from the ruptured aneurysm may have blocked the arachnoid
villi, interupting flow of CSF and resulting in hydrocephalus. Vasospasm is a
protective response during the active bleeding process, does not cause
hydrocephalus.
, Which test would the nurse expect to be prescribed for a client who is
suspected to have an intracranial aneurysm? Right Ans - Magnetic
resonance angiography
Used to evaluate blood flow and blood vessel abnormalities, such as arterial
blockage, intracranial aneurysms, and arteriovenous malformations
There are five clients in the emergency unit. Which client conditions require
immediate treatment?
Select all that apply
Skin rash
Unstable vital signs
Severe abdominal pain
Chest pain with diaphoresis
Multiple complex soft tissue injuries Right Ans - Unstable vital signs
Severe abdominal pain
Chest pain with diaphoresis
abdominal pain- could be experiencing aneurysm or ectopic pregnancy.
Multiple soft tissue injuries does not need immediate treatment because the
injuries are not likely to be life threatening.
When a client is experiencing acute coronary syndrome, which factor would
the nurse identify as the cause of the pain experiencing by a client?
Arterial aneurysm
Heart muscle ischemia
Blocking of the coronary veins
Irritation of nerve endings in the cardiac plexus Right Ans - Heart muscle
ischemia
Which type of shock would the nurse monitor for in a client with a ruptured
abdominal aortic aneurysm? Right Ans - Hypovolemic
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