Complex Care Nursing Final Exam Latest
With Verified Answers
ANSWERS QUESTIONS
For each unit of packed RBC's given to a patient
1 gram with anemia/blood loss, how much will their
hemoglobin level be raised?
What IV fluid is contraindicated in pregnant women
D5W due to the risk of encephalopathy (Cerebral
edema)?
It is an anesthetic given What is propofol & what is a serious AE of this
before/after surgical medication?
procedures that can cause a
loss of airway
> 90 mL/min What is normal GFR?
Kidney disease What does a GFR < 90 mL/min indicate?
What is the most specific lab value to monitor
GFR, followed by BUN/Cr related to renal function? What are the next two
values to be monitored?
7-20 What is normal BUN?
, Altered LOC What is the earliest sign of increased ICP?
WIDENED PULSE PRESSURE, What are late signs of increased ICP?
HTN & bradycardia
What IV fluid is contraindicated in patients with
D5W
increased ICP?
Tall, tented t-waves & ST What are EKG changes r/t hyperkalemia?
segment depression is
observed
ST segment depression, What are EKG changes r/t hypokalemia?
inverted t-wave & prominent u-
wave is observed
Cold and clammy give em What is the saying r/t diabetes to differentiate
candy (Juice, carbohydrate, between hypoglycemia and hyperglycemia?
glucose), warm and hot get a
shot (Insulin)
What would you expect an ABG to read for a
pH < 7.30, bicarb < 18
patient experiencing DKA?
Metabolic acidosis Is DKA a metabolic or respiratory acidosis?
pH > 7.45, pCO2 < 35, What would you expect an ABG to read for a
bicarbonate within normal if patient experiencing periods of hyperventilation r/t
uncompensated or < 22 if anxiety, pain or fever?
partially compensated
What type of IV solution should be administered for
Hypertonic solutions
patients with a subdural hematoma?
, - Dextrose 10% in water (D10W) What are two examples of hypertonic IV solutions?
- Dextrose 5% in 0.9% NaCl
(D5NS)
- 0.9% NaCl (NS) What are examples of isotonic IV solutions?
- Lactated Ringer's (LR)
- 5% dextrose in 0.225% saline
- 5% dextrose in water
- 0.45% NaCl (1/2 NS) What is an example of a hypotonic solutions?
What is the only IV solution that can be
0.9% NaCl - Isotonic solution administered simultaneously with blood products?
What type of solution is this?
Used to save the neurological What is the use of targeted temperature
function of the pt for various management? List examples.
reasons:
- Reduces free radicals
- Reduces destruction of brain
cells
- Improves neurological
outcomes post cardiac arrest
How long does a patient need to be unconscious to
15-30 minutes be eligible for targeted temperature management
(Induced hypothermia)?
What does induced hypothermia decrease the
Oxygen
body's overall consumption of?
With Verified Answers
ANSWERS QUESTIONS
For each unit of packed RBC's given to a patient
1 gram with anemia/blood loss, how much will their
hemoglobin level be raised?
What IV fluid is contraindicated in pregnant women
D5W due to the risk of encephalopathy (Cerebral
edema)?
It is an anesthetic given What is propofol & what is a serious AE of this
before/after surgical medication?
procedures that can cause a
loss of airway
> 90 mL/min What is normal GFR?
Kidney disease What does a GFR < 90 mL/min indicate?
What is the most specific lab value to monitor
GFR, followed by BUN/Cr related to renal function? What are the next two
values to be monitored?
7-20 What is normal BUN?
, Altered LOC What is the earliest sign of increased ICP?
WIDENED PULSE PRESSURE, What are late signs of increased ICP?
HTN & bradycardia
What IV fluid is contraindicated in patients with
D5W
increased ICP?
Tall, tented t-waves & ST What are EKG changes r/t hyperkalemia?
segment depression is
observed
ST segment depression, What are EKG changes r/t hypokalemia?
inverted t-wave & prominent u-
wave is observed
Cold and clammy give em What is the saying r/t diabetes to differentiate
candy (Juice, carbohydrate, between hypoglycemia and hyperglycemia?
glucose), warm and hot get a
shot (Insulin)
What would you expect an ABG to read for a
pH < 7.30, bicarb < 18
patient experiencing DKA?
Metabolic acidosis Is DKA a metabolic or respiratory acidosis?
pH > 7.45, pCO2 < 35, What would you expect an ABG to read for a
bicarbonate within normal if patient experiencing periods of hyperventilation r/t
uncompensated or < 22 if anxiety, pain or fever?
partially compensated
What type of IV solution should be administered for
Hypertonic solutions
patients with a subdural hematoma?
, - Dextrose 10% in water (D10W) What are two examples of hypertonic IV solutions?
- Dextrose 5% in 0.9% NaCl
(D5NS)
- 0.9% NaCl (NS) What are examples of isotonic IV solutions?
- Lactated Ringer's (LR)
- 5% dextrose in 0.225% saline
- 5% dextrose in water
- 0.45% NaCl (1/2 NS) What is an example of a hypotonic solutions?
What is the only IV solution that can be
0.9% NaCl - Isotonic solution administered simultaneously with blood products?
What type of solution is this?
Used to save the neurological What is the use of targeted temperature
function of the pt for various management? List examples.
reasons:
- Reduces free radicals
- Reduces destruction of brain
cells
- Improves neurological
outcomes post cardiac arrest
How long does a patient need to be unconscious to
15-30 minutes be eligible for targeted temperature management
(Induced hypothermia)?
What does induced hypothermia decrease the
Oxygen
body's overall consumption of?
