NR 341 CMS QUESTIONS AND ANSWERS

NR 341 CMS QUESTIONS AND ANSWERS drugs for atrial flutter Correct Answer: amiodarone, beta blockers, digoxin EKG during A flutter Correct Answer: Paced atrial beats Paced ventricular beats (no P-wave) EKG during V tach Correct Answer: Rate: 100-220 beats/min Rhythm: Regular P wave: absent QRS: Wide and bizarre, 0.12 what kind of food should burn patients eat Correct Answer: fresh fruits and veggies s/s of SIADH Correct Answer: weakness, muscle cramps, anorexia, nausea, HA, disoriented/irritable, weight gain, fluid intake will exceed output, dyspnea, HTN electrolytes: Hyponatremia s/s of SIRs Correct Answer: Tachypnea Temperature dysregulation ↓ urine output - Oliguria Altered LOC - Acute encephalopathy Metabolic acidosis Petechiae Virchow's triad Correct Answer: Venous stasis Altered coagulability Damage to vessel wall (3 biggest causes of PE) s/s of pulmonary embolism Correct Answer: Symptoms of deep venous thrombosis Chest pain (worse on inspiration) Dyspnea, Tachycardia Cough; hemoptysis Crackles, wheezes Hypoxemia normal range for fasting blood glucose Correct Answer: 70-110 mg/dL Normal HbA1c levels Correct Answer: 4-6% Normal postprandial blood glucose levels Correct Answer: 160 mg/dl normal causal blood glucose levels Correct Answer: 200 mg/dl What to do when patient has upper GI bleeding Correct Answer: gastric lavage s/s of SIRS Correct Answer: Temperature 38°C (100.4°F) or 36°C (96.8°F)•Heart rate 90•Respiratory rate 20 or PaCO2 32 mmHg•WBC 12000/mm3 , 4000/mm3 , or 10% bands Click on pic of abdomen where patient would have transverse colostomy Correct Answer: upper left abdomen seizure precautions Correct Answer: safety (protect head, lower to ground), then airway O2 given after seizure has stopped S/S of SIADH Correct Answer: decreased uop, increase urine specific gravity, hyponatremia, weight gain without edema, weakness, n/v, seizure, decreased reflexes, HTN Med for status epilepticus Correct Answer: FIRST LINE DRUGS. Lorazepam (Ativan) is the drug of choice action if reaction to RBCs Correct Answer: stop the infusion med to give after thyroidectomy Correct Answer: levothyroxine (synthroid) cushing's triad Correct Answer: Signs of increased intracranial pressure: 1. hypertension 2. bradycardia 3. irregular respirations s/s of pulmonary embolism Correct Answer: Symptoms of deep venous thrombosis Chest pain (worse on inspiration) Dyspnea, Tachycardia Cough; hemoptysis Crackles, wheezes Hypoxemia 1st degree burn (superficial) Correct Answer: epidermis only or small depth of dermis Sunburn 2nd degree burn (partial thickness) Correct Answer: epidermis and most of dermis 3rd degree burn (full thickness) Correct Answer: Same as partial thickness but may extend into subcutaneous tissue; nerve damage Thick, dry leathery appearance 4th degree burn (deep full thickness) Correct Answer: Destruction of all layers plus muscles, tendons & bones Black with no edema esophageal varices treatment Correct Answer: octreotide to decrease splanchic (GI) blood flow and banded ligation glossectomy post op care Correct Answer: acute hepatic failure care Correct Answer: acetylcytestine enteral feeding Correct Answer: check placement, check content if less than 200ml, put back in Turner's sign Correct Answer: Flank--greyish blue. (turn around to see your flanks) Seen with pancreatitis Cullen's sign Correct Answer: ecchymosis in umbilical area, seen with pancreatitis how often to change tubing for TPN Correct Answer: every 24 hrs. normal ICP Correct Answer: 10-15 mmhg s/s of icp Correct Answer: sleepiness exhibited by the client widening pulse pressure decerebrate posturing decorticate irritability (early sing) restlessness decreased loc headache pupil abnormalities abnormal breathing