FCCN2 EXAM TEST BANK QUESTIONS
WITH CORRECT DETAILED ANSWERS
Amiodarone (Cordarone) - Answer-*class*: Antiarrhythmic class III, Potassium channel
blocker
*Indication*: ventricular arrhythmias, SVT, ACLS protocol for v-fib and vTACH
*Nursing Considerations*:
- may lead to ARDS, pulmonary toxicity, CHF, bradycardia, hypotension
- increases risk for QT prolongation
- increases digoxin levels
- increases activity of warfarin
- monitor EKG
- assess for signs and symptoms of ARDS
- monitor liver function test
- check dosage with another RN
- avoid drinking grapefruit juice
Citrate in CRRT - Answer-Citrate chelates (binds) calcium ions, preventing blood
clotting and thus is an effective anticoagulant
Regional anticoagulant that only effects blood in the circuit
Calcium chloride in CRRT - Answer-Prevents depletion of calcium stores which can
occur with citrate
sodium phosphate in CRRT - Answer-Replacement solution is unable to provide
enough phos without precipitation
compensated acidosis or alkalosis - Answer-Metabolic acidosis or alkalosis are partially
compensated for by opposite changes in blood carbonic acid levels (through changes in
ventilation)
Respiratory acidosis or alkalosis are partially compensated for by increased retention or
excretion of bicarbonate in the urine.
Fully compensate blood gas - Answer-pH is between 7.35 & 7.45
Uncompensated blood gas - Answer-One electrolyte is normal
, pH - Answer-7.35-7.45
PaCO2 - Answer-35-45 mmHg
HCO3 - Answer-22-26 mEq/L
Oxygenation - Answer-The process of delivering oxygen to the blood by diffusion from
the alveoli following inhalation into the lungs.
Ventilation - Answer-movement of air in and out of the lungs
CPAP (continuous positive airway pressure) - Answer-Pressurized air delivered to lungs
to keep them expanded during exhalation
PEEP
BiPAP (bilevel positive airway pressure) - Answer-Non-Invasive Ventilatory Support
Positive airway pressure of inspiration and expiration
Similar to mixing pressure support ventilation with CPAP
Tidal Volume (TV) - Answer-Amount of air inhaled or exhaled with each breath under
resting conditions
Calculated based on ideal body weight
6ml/kg prevents barotrauma
Minute Ventilation (VE) - Answer-Set flow of expired gas in one minute
VE = VT x RR
Normal VE is 5-8L/min.
< 10 weaning
Pressure Support Ventilation (PSV) - Answer-Mode of mechanical ventilation in which
preset positive pressure is delivered with spontaneous breaths to decrease work of
breathing
Increasing PS will increase tV on a patient initiated breath
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