lOMoAR cPSD| 36357603
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Question: 1
A patient presents with pulmonary edema, tachypnea, tachycardia, hypertension, fever, and cough with
frothy sanguineous sputum. What treatments are most commonly ordered initially with this clinical
presentation?
A. Oxygen, nitroglycerine, loop diuretics, and morphine.
B. Oxygen, thiazide diuretics, and angiotensin-converting enzyme inhibitors.
C. Oxygen and thiazide diuretics.
D. Oxygen, morphine, and calcium channel blockers.
Answer: A
Explanation:
The most common initial treatment of acute pulmonary edema is oxygen to relieve dyspnea,
nitroglycerine to reduce preload, loop diuretics (usually furosemide-Lasix) to promote diuresis and
venodilation, and morphine to reduce associated anxiety (although some physicians avoid morphine
because of side effects). Angiotensin-converting enzyme inhibitors are also sometimes used to reduce
afterload, but thiazide diuretics are not used to treat acute pulmonary edema. Calcium channel blockers
may induce acute pulmonary edema if used with tocolytics.
Question: 2
An 86-year-old patient with end-stage cardiac disease has a do-not-resuscitate (DNR) order as a result of
an advance directive and has been explicit about her desire to avoid life-prolonging procedures.
However, when she goes into cardiac arrest, her daughter demands that the nurses perform
cardiopulmonary resuscitation (CPR). In this situation, the staff should do which of the following?
A. Proceed with CPR as the patient can no longer make decisions.
B. Proceed with CPR while calling the patient's physician to request verification of the DNR order.
C. Contact the ethics committee for guidance.
D. Advise the daughter that a valid DNR order is in place and that CPR will be withheld in accordance
with the patient's wishes.
Answer: D
Explanation:
The daughter should be advised that cardiopulmonary resuscitation must be withheld in
, lOMoAR cPSD| 36357603
accordance with the advance directive and desires of the mother. A valid do-not-resuscitate order is in
place and does not require verification. Family members often panic at the time of death and want to
institute lifesaving measures against the wishes of the patient, but this does not override the patient's
explicit directions.
GET CERTIFIED IN CARDIAC
VASCULAR NURSING PREPARE
FOR THE ANCC-CV-BC EXAM WITH
POWER-PACKED STUDY
RESOURCES NURSING(NUR 101)
Question: 1
A patient presents with pulmonary edema, tachypnea, tachycardia, hypertension, fever, and cough with
frothy sanguineous sputum. What treatments are most commonly ordered initially with this clinical
presentation?
A. Oxygen, nitroglycerine, loop diuretics, and morphine.
B. Oxygen, thiazide diuretics, and angiotensin-converting enzyme inhibitors.
C. Oxygen and thiazide diuretics.
D. Oxygen, morphine, and calcium channel blockers.
Answer: A
Explanation:
The most common initial treatment of acute pulmonary edema is oxygen to relieve dyspnea,
nitroglycerine to reduce preload, loop diuretics (usually furosemide-Lasix) to promote diuresis and
venodilation, and morphine to reduce associated anxiety (although some physicians avoid morphine
because of side effects). Angiotensin-converting enzyme inhibitors are also sometimes used to reduce
afterload, but thiazide diuretics are not used to treat acute pulmonary edema. Calcium channel blockers
may induce acute pulmonary edema if used with tocolytics.
Question: 2
An 86-year-old patient with end-stage cardiac disease has a do-not-resuscitate (DNR) order as a result of
an advance directive and has been explicit about her desire to avoid life-prolonging procedures.
However, when she goes into cardiac arrest, her daughter demands that the nurses perform
cardiopulmonary resuscitation (CPR). In this situation, the staff should do which of the following?
A. Proceed with CPR as the patient can no longer make decisions.
B. Proceed with CPR while calling the patient's physician to request verification of the DNR order.
C. Contact the ethics committee for guidance.
D. Advise the daughter that a valid DNR order is in place and that CPR will be withheld in accordance
with the patient's wishes.
Answer: D
Explanation:
The daughter should be advised that cardiopulmonary resuscitation must be withheld in
, lOMoAR cPSD| 36357603
accordance with the advance directive and desires of the mother. A valid do-not-resuscitate order is in
place and does not require verification. Family members often panic at the time of death and want to
institute lifesaving measures against the wishes of the patient, but this does not override the patient's
explicit directions.
