Exam (elaborations)
Healthstream Test with complete solutions
Exam of 9 pages for the course HealthStream at HealthStream (Healthstream Test)
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October 13, 2024
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HealthStream
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HealthStream
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Healthstream Test
A iipatient iiassessment iireveals iidistended iineck iiveins, iipulsus iiparadoxus, iiand
iidecreased iisystolic iipressure. iiThis iiassessment iiis iimost iiconsistent iiwith: ii- iiAnswers ii-
cardiac iitamponade.
The iinurse iiis iicaring iifor iia iipatient iiwith iisevere iisepsis iiand iithird-degree iiheart iiblock.
iiThe iipatient iiis iihypotensive. iiThe iitreatment iifor iithis iilife-threatening iirhythm iichange
iiincludes: ii- iiAnswers ii-transcutaneous iipacing.
A iipatient iiis iiadmitted iito iithe iiICU iiwith iisuspected iicervical iispinal iicord iiinjury iifollowing
iia iimotor iivehicle iiaccident. iiThe iimost iiimportant iinursing iiintervention iifor iithis iipatient
iiis iito: ii- iiAnswers ii-immobilize iihis iihead.
The iinurse iiassesses iia iipatient's iichest iitube iidrainage ii2 iihours iifollowing iithoracic
iisurgery. iiThe iitotal iidrainage iiin iithe iisystem iiis ii200 iimL. iiThe iinurse iiknows iithat: ii-
iiAnswers ii-this iiis iian iiexcessive iiamount iiof iidrainage
The iipatient iibeing iiadmitted iirequires iiCRRT iitherapy. iiThe iinurse iiassigned iito iiadmit
iithe iipatient iihas iinot iibeen iieducated iion iithis iitherapy. iiThe iicharge iinurse iiadjusts iithe
iiassignment iiso iithat iia iinurse iiwith ii3 iiyears iiexperience iiin iiCRRT iitherapy iiis iiassigned
iito iithe iipatient. iiThis iitype iiof
decision iimaking iiis iian iiexample iiof: ii- iiAnswers ii-the iisynergy iimodel iifor iipatient iicare.
The iipatient iidiagnosed iiwith iiacute iitubular iinecrosis ii(ATN) iiand iiexperiencing iisevere
iidehydration, iisepsis, iiand iipneumonia iiis iinow iiin iithe iipolyureic iistage iiof iiATN. iiThe
iimost iiimportant iinursing iiaction iiis iito: ii- iiAnswers ii-monitor iielectrolyte iilevels iiand
iisigns iiof iifluid iidepletion.
A iipatient iihas iian iielevated iicentral iivenous iipressure ii(CVP) iimeasurement. iiThe iimost
iilikely iireason iiis: ii- iiAnswers ii-right iiheart iifailure.
Diabetes iiinsipidus iiis iiusually iitreated iiwith ii- iiAnswers ii-vasopressin.
Which iiphysiologic iieffect iiis iiproduced iiby iialpha-1 iireceptors? ii- iiAnswers ii-
Vasoconstriction
The iipatient iiexperiencing iian iiacute iimyocardial iiinfarction ii(AMI) iiarrived iion iithe iiunit
iian iihour iiago iiwith iiTPA iiinfusing. iiInitially, iithe iipatient's iineurologic iiexam iiwas iinormal.
iiThe iinurse iiassesses iithe iipatient iiand iifinds iihim iinow iidisoriented. iiThe iinext iinursing
iiaction iishould iibe iito: ii- iiAnswers ii-discontinue iithe iiTPA.
, A iipatient iihas iicardiomyopathy iiand iiis iiunstable. iiThe iinurse iiunderstands iithat iithe
iitreatment iigoal iiis iito iiimprove iicontractility, iireduce iipreload iiand iireduce iiafterload.
iiThe iinurse iianticipates iithat iimedication iimanagement iiwill iiinclude: ii- iiAnswers ii-
dobutamine iiand iinitroprusside iiinfusions
A iicontinuous iidrip iiof iia iimedication iiis iiordered iiat iia iirate iiof ii2 iimg/min. iiThe iistandard
iimixture iiof iithis iimedication iito iiyield iia iifinal iiconcentration iiof ii2 iimg/mL iiis ii1 iig iiof iithe
iimedication iiin ii500 iimL iiof iiIV iifluid. iiAt iiwhat iirate iiin iimilliliters iiper iihour iishould iithe iiIV
iipump iibe iiset? ii- iiAnswers ii-60 iimL/hr
A iipractitioner iihas iiordered ii700 iimg iiof iian iiantibiotic. iiThe iimedication iilabel iistates,
ii"Add ii5 iimL iisterile iiwater iito ii1 iig iiof iithis iimedication; ii0.5 iig ii= ii2 iimL." iiHow iimany
iimilliliters iishould iibe iigiven? ii- iiAnswers ii-2.8 iimL
A iipractitioner iiorder iiis iiwritten iifor iia iicontinuous iiinfusion iiof iiinsulin iiat ii3 iiunits/hr; iithe
iipremixed iisolution iiis iicomposed iiof ii100 iiunits iiof iiregular iiU-100 iiinsulin iiin ii100 iimL
iinormal iisaline. iiAt iiwhich iirate iishould iithe iiinfusion iirun? ii- iiAnswers ii-3 iiml/hr
A iidose iiof ii35 iimg iiof iia iicorticosteroid iiis iiordered iito iibe iigiven iiIM iito iitreat
iiinflammation. iiThe iimedication iiis iiavailable iias ii250 iimg/10 iimL. iiHow iimany iimilliliters
iishould iibe iiadministered? ii- iiAnswers ii-1.4 iiml
A iipractitioner's iiorder iiprescribes iilevothyroxine ii0.075 iimg iiPO iidaily. iiThe iiavailable
iimedication iiis iilevothyroxine ii25-mcg iitablets. iiWhat iiwill iithe iinurse iiadminister? ii-
iiAnswers ii-3 iitabs
The iiactions iiof iinitroglycerin iiin iithe iimanagement iiof iiangina iiinclude ii- iiAnswers ii-
coronary iiartery iidilation iiand iiperipheral iivenous iidilation.
The iimost iicommon iicause iiof iiright iiheart iifailure iiis: ii- iiAnswers ii-left iiheart iifailure.
The iinurse iiis iidifferentiating iibetween iiright- iiand iileft-sided iiheart iifailure iiin iian
iiassigned iipatient. iiFor iiright-sided iiheart iifailure, iithe iipatient iipresents iiwith iiedematous
iiextremities, iinausea/vomiting, iiand: ii- iiAnswers ii-anorexia.
The iinurse iiis iiassigned iito iia iipatient iiwith iiacute iiadrenal iiinsufficiency ii(Addisonian
iicrisis). iiThe iipractitioner iiorders iithe iisteroids iito iibe iidiscontinued iiquickly. iiThe iinurse
iiknows iito iiquestion iithe iiorder iibecause: ii- iiAnswers ii-steroids iishould iibe iiwithdrawn
iislowly iito iiallow iifor iipituitary iiproduction iiof iiACTH
The iinurse iiis iicaring iifor iia iipatient iiwho iihas iiatrial iifibrillation. iiThe iipatient iiis
iiattempting iito iiunderstand iiwhy iithis iidysrhythmia iideveloped iiin iihim. iiThe iinurse
iieducates iithis iipatient iiabout iihis iirisk iifactors, iiincluding: ii- iiAnswers ii-diabetes iimellitus.