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NURSING 480 ADVANCED MED-SURG QUESTIONS WITH CORRECT ANSWERS

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NURSING 480 ADVANCED MED-SURG QUESTIONS WITH CORRECT ANSWERS

Institution
NURS 480
Course
NURS 480

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Know strips for V tach, V -Fib, NS,


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V tach: Associated w/ heart disease,drugs,elcetro
Can be pulseless/w/pulse
VT w/ pulse: Antidysrhythmics/ cardioversion
VT w/ no pulse-CPR/DEfib

V-fib:⊗HR No P wave-PR/QRS not measurable-
Associated w/ MI/Ischemia..etc
Unresponsive/pulseless
TX: CPR/ACLS/ DEFib/ EPI/Vasop




Aertial/Systemic monitor? What to include in plan of care?


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, HH, surgical asepsis tech-dressing changes
Inspect insertion site for local signs of inflammation.
Monitor for sytemic infection-elevlated WBC's/or temp
Change pressure tubing/etc per facility protcools
Collect specimens deliver to lab
Admin-antibotics/ IV fluids for intravascular support. Vasopressors for
vasodilation secondary to sepsis.




Different deflections?


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P wave- Atria depol
QRS-Depol of ventricles
T-Wave-repol ventricles
U -Wave-represent repol purkinje fibers




Dopamine-Iv -What type finding indicate therapeutic effectiveness of dopamine?
Positive inotrope-


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⬆︎ SBP-in a hypovolemic pt




ARDS Intervention-help with oxygenation status?


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, Pt put Prone




ST depressed vs T-wave elevation vs ST elevation?


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St depressed-or U wave inversion= MI/ infarction
ST elevation= Total blockage of arteries-CATH ASAP




Dysrththmias-No pulse, No breathing, App Nursing Action?


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CPR-EPI/Intubate




Acute hypoxemic Resp.failure: Initial first sign ?


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Change in mental status-ALOC
Occurs early- brain sensitive to O2 changes




O2 tx-Adverse effects of O2 tx?


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Institution
NURS 480
Course
NURS 480

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