NUR 434 FINAL EXAM QUESTIONS AND ANSWERS
mannitol - CORRECT ANSWER✅✅cerebral edema treatment (monitor ICP: normal 5-15, and measure
UO)
beta blockers - CORRECT ANSWER✅✅-olol meds
decrease SA node automaticity, slow AV conduction, block SNS
used for hypertensive emergency
atropine - CORRECT ANSWER✅✅used for bradycardia and heart blocks
amiodarone - CORRECT ANSWER✅✅acts on cardiac tissue to prolong duration of action potential
refractory period without altering the resting membrane potential
used for life threatening ventricular dysrhythmias, supra-ventricular dysrhythmias, and a fib
amiodarone side effects - CORRECT ANSWER✅✅dizziness, hypotension, bradycardia, sinus arrest,
pulmonary toxicity
amiodarone nursing implications - CORRECT ANSWER✅✅correct serum potassium and magnesium
levels prior to initiation of drug
monitor for hypotension during initial titration phase and when increasing dose (slow infusion if
bradycardia or hypotension occurs)
sustained monitoring is essential due to long half-life
epinephrine - CORRECT ANSWER✅✅used for pulseless vtach, asystole, heart blocks
norepinephrine - CORRECT ANSWER✅✅vasopressor
first choice for septic shock
nitroprusside - CORRECT ANSWER✅✅htn emergency
vasodilator
,clonidine - CORRECT ANSWER✅✅htn urgency
lactulose - CORRECT ANSWER✅✅hepatic encephalopathy treatment
helps get rid of buildup of ammonia
vitamin k - CORRECT ANSWER✅✅coagulopathy treatment (INR)
advocacy - CORRECT ANSWER✅✅advocate for the patient
invoked when a team members viewpoints dont coincide with that of a decision maker
assertion - CORRECT ANSWER✅✅clearly assets concerns and suggestions
five step process:
1. open the discussion
2. state the concern
3. state the problem- real or percieved
4. offer a solution
5. obtain an agreement
feedback - CORRECT ANSWER✅✅information provided for the purpose of improving team
performance
formal feedback - CORRECT ANSWER✅✅retrospective and typically scheduled in advance
ex. collaborative discussions, case conferences, individual performance
informal feedback - CORRECT ANSWER✅✅typically in real time, focuses on knowledge and practical
skills development
ex. huddles, debriefs
, task assistance - CORRECT ANSWER✅✅team members foster a climate in which it is expected that
assistance will be actively sought and offered as a method for reducing the occurrence of error
asystole nursing care - CORRECT ANSWER✅✅check patient (leads may be off)
call for help
CPR/ACLS and epi
treat underlying cause
DONT SHOCK
vtach s/sx - CORRECT ANSWER✅✅regular
rate >100bpm
p waves: none
PRI: none
QRS complex: wide and bizarre (>0.12 sec)
pulseless vtach treatment - CORRECT ANSWER✅✅SCREAM
s-shock (defibrillation)
c-cpr
r-rhythm check
e-epinephrine
a- anti-arrhythmic (amiodarone)
m-magnesium sulfate: for torsades
vtach with a pulse treatment - CORRECT ANSWER✅✅amiodarone and cardioversion
defibrillation - CORRECT ANSWER✅✅not synced with pt rhythm
emergency
vfib and vtach
mannitol - CORRECT ANSWER✅✅cerebral edema treatment (monitor ICP: normal 5-15, and measure
UO)
beta blockers - CORRECT ANSWER✅✅-olol meds
decrease SA node automaticity, slow AV conduction, block SNS
used for hypertensive emergency
atropine - CORRECT ANSWER✅✅used for bradycardia and heart blocks
amiodarone - CORRECT ANSWER✅✅acts on cardiac tissue to prolong duration of action potential
refractory period without altering the resting membrane potential
used for life threatening ventricular dysrhythmias, supra-ventricular dysrhythmias, and a fib
amiodarone side effects - CORRECT ANSWER✅✅dizziness, hypotension, bradycardia, sinus arrest,
pulmonary toxicity
amiodarone nursing implications - CORRECT ANSWER✅✅correct serum potassium and magnesium
levels prior to initiation of drug
monitor for hypotension during initial titration phase and when increasing dose (slow infusion if
bradycardia or hypotension occurs)
sustained monitoring is essential due to long half-life
epinephrine - CORRECT ANSWER✅✅used for pulseless vtach, asystole, heart blocks
norepinephrine - CORRECT ANSWER✅✅vasopressor
first choice for septic shock
nitroprusside - CORRECT ANSWER✅✅htn emergency
vasodilator
,clonidine - CORRECT ANSWER✅✅htn urgency
lactulose - CORRECT ANSWER✅✅hepatic encephalopathy treatment
helps get rid of buildup of ammonia
vitamin k - CORRECT ANSWER✅✅coagulopathy treatment (INR)
advocacy - CORRECT ANSWER✅✅advocate for the patient
invoked when a team members viewpoints dont coincide with that of a decision maker
assertion - CORRECT ANSWER✅✅clearly assets concerns and suggestions
five step process:
1. open the discussion
2. state the concern
3. state the problem- real or percieved
4. offer a solution
5. obtain an agreement
feedback - CORRECT ANSWER✅✅information provided for the purpose of improving team
performance
formal feedback - CORRECT ANSWER✅✅retrospective and typically scheduled in advance
ex. collaborative discussions, case conferences, individual performance
informal feedback - CORRECT ANSWER✅✅typically in real time, focuses on knowledge and practical
skills development
ex. huddles, debriefs
, task assistance - CORRECT ANSWER✅✅team members foster a climate in which it is expected that
assistance will be actively sought and offered as a method for reducing the occurrence of error
asystole nursing care - CORRECT ANSWER✅✅check patient (leads may be off)
call for help
CPR/ACLS and epi
treat underlying cause
DONT SHOCK
vtach s/sx - CORRECT ANSWER✅✅regular
rate >100bpm
p waves: none
PRI: none
QRS complex: wide and bizarre (>0.12 sec)
pulseless vtach treatment - CORRECT ANSWER✅✅SCREAM
s-shock (defibrillation)
c-cpr
r-rhythm check
e-epinephrine
a- anti-arrhythmic (amiodarone)
m-magnesium sulfate: for torsades
vtach with a pulse treatment - CORRECT ANSWER✅✅amiodarone and cardioversion
defibrillation - CORRECT ANSWER✅✅not synced with pt rhythm
emergency
vfib and vtach
