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A patient with a history of vasculitis and cocaine abuse is admitted with altered mental
status. CT reveals intracerebral hemorrhagic stroke .Which action should the nurse
anticipate? - CORRECT ANSWER -Avoidance of hypotonic IV fluids
An IABP is currently 3:1 when the patient suddenly goes into ventricular fibrillation. In
addition to resuscitative measures, the nurse should - CORRECT ANSWER -
Change the trigger to internal or pressure to support resuscitative measures
An older patient is receiving haloperidol (Haldol) for alcohol withdrawl. The nurse should
asses for - CORRECT ANSWER -Lengthening of the QT interval
Which monitoring parameter is the BEST choice for evaluating tissue oxygenation? -
CORRECT ANSWER -SvO2
In caring for a patient with a DDD pacemaker, the nurse should know that -
CORRECT ANSWER -Pacing and sensing occur in the atrium and ventricle.
A patient develops chest pain, nausea, vomiting and diaphoresis. A 12-lead ECG is normal.
A further cardiac assessment is warranted, as it is common for ST segment elevation to be
absent in - CORRECT ANSWER -Posterior wall MI
A patient is admitted with elevated troponin levels and ST segment elevation in leads II,
III, and aVF. Administration of which medication should the nurse anticipate INITIALLY? -
CORRECT ANSWER -Reteplase (Retavase)
Caution should be used titrating nitroglycerin (Tridil) in patients with ST segment
elevation in leads - CORRECT ANSWER -II, III, and aVF
The nurse notes that the arterial line waveform decreases significantly with each
inspiration by the patient. The nurse should assess for the development of which
complication? - CORRECT ANSWER -Cardiac Tamponade
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