NUR 434 final exam Questions With Complete Solutions
abdominal aneursym: rupture s/sx Correct Answers severe pain
in abdomen, flank or back, syncope, hypotension, shock or
sudden death
abdominal aneurysm: dissection s/sx Correct Answers rapid
onset of severe pain in abdomen or back
peripheral neuropathy or paralysis
abdominal aneurysm: general s/sx Correct Answers often
asymp.
abdominal pulsation, ischemia in extremities from thrombus
formation, peripheral pulses may be weak or absent
abdominal compartment syndrome risk factors Correct Answers
ruptured AAA (abd aortic aneursym)
bowel obstruction
pancreatitis
peritonitis
pregnancy
massive fluid resuscitation
ascites
shock
abdominal compartment syndrome s/sx Correct Answers
hemodynamic changes
elevated SVR, CVP, and RAP
tachycardia
decreased CO
hypotension (late sign)
,decreased lung compliance
hypercapnia
hypoxemia
elevated PIP
oliguria
azotemia
prerenal failure
increased ICP
altered LOC
small bowel ischemia
translocation of bacteria from gut
sepsis
further increase in IAP
ABG ranges Correct Answers pH 7.35-7.45
PaCO2 35-45
HCO3 22-26
PaO2 80-100
acceleration Correct Answers when a moving object strikes the
head, involving transfer of energy along a linear path
sudden acceleration causes brain injury at site of impact with
skull
acute pancreatitis s/sx Correct Answers severe abdominal pain
rigid abdomen
cullens sign- periumbilical ecchymosis
grey turners sign- flank ecchymosis
anorexia
nausea/vomiting
diarrhea
, SIRS
change in LOC
advocacy Correct Answers advocate for the patient
invoked when a team members viewpoints dont coincide with
that of a decision maker
afterload Correct Answers resistance
AICD/pacemaker nursing care and patient teaching Correct
Answers if experiencing failure to capture/fire: look for sx of
low CO, check battery, check leads
carry pacemaker ID and medicalert bracelet
immobilize extremity
report symptoms of syncope, lightheadedness, fatigue,
palpitations
all AV heart block treatment Correct Answers call for help
CPR/ACLS as needed
O2 and pacemaker
atropine, dopamine, epinephrine
amiodarone Correct Answers 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 nursing implications Correct Answers correct
serum potassium and magnesium levels prior to initiation of
drug
abdominal aneursym: rupture s/sx Correct Answers severe pain
in abdomen, flank or back, syncope, hypotension, shock or
sudden death
abdominal aneurysm: dissection s/sx Correct Answers rapid
onset of severe pain in abdomen or back
peripheral neuropathy or paralysis
abdominal aneurysm: general s/sx Correct Answers often
asymp.
abdominal pulsation, ischemia in extremities from thrombus
formation, peripheral pulses may be weak or absent
abdominal compartment syndrome risk factors Correct Answers
ruptured AAA (abd aortic aneursym)
bowel obstruction
pancreatitis
peritonitis
pregnancy
massive fluid resuscitation
ascites
shock
abdominal compartment syndrome s/sx Correct Answers
hemodynamic changes
elevated SVR, CVP, and RAP
tachycardia
decreased CO
hypotension (late sign)
,decreased lung compliance
hypercapnia
hypoxemia
elevated PIP
oliguria
azotemia
prerenal failure
increased ICP
altered LOC
small bowel ischemia
translocation of bacteria from gut
sepsis
further increase in IAP
ABG ranges Correct Answers pH 7.35-7.45
PaCO2 35-45
HCO3 22-26
PaO2 80-100
acceleration Correct Answers when a moving object strikes the
head, involving transfer of energy along a linear path
sudden acceleration causes brain injury at site of impact with
skull
acute pancreatitis s/sx Correct Answers severe abdominal pain
rigid abdomen
cullens sign- periumbilical ecchymosis
grey turners sign- flank ecchymosis
anorexia
nausea/vomiting
diarrhea
, SIRS
change in LOC
advocacy Correct Answers advocate for the patient
invoked when a team members viewpoints dont coincide with
that of a decision maker
afterload Correct Answers resistance
AICD/pacemaker nursing care and patient teaching Correct
Answers if experiencing failure to capture/fire: look for sx of
low CO, check battery, check leads
carry pacemaker ID and medicalert bracelet
immobilize extremity
report symptoms of syncope, lightheadedness, fatigue,
palpitations
all AV heart block treatment Correct Answers call for help
CPR/ACLS as needed
O2 and pacemaker
atropine, dopamine, epinephrine
amiodarone Correct Answers 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 nursing implications Correct Answers correct
serum potassium and magnesium levels prior to initiation of
drug
