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NUR 417
NUR 417 Exam 2 Review | Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. What is the priority intervention for PVCs?: First perform thorough
physical examination, health hx, confirm meds and allergies
Obtain baseline EKG, do cardiac assessment
Determine if the patient is experiencing symptoms such as chest pain,
dizziness, palpitations, or shortness of breath.
Take apical-radial pulse rate - determine pulse deficit (PVCs often will not
generate sufficient ventricular contraction to result in a peripheral pulse.)
Assess signs of decreased CO (LOCO Man)
2. QRS Complex length in PVCs: Wider than 0.12 seconds in PVCs.
3. Abnormal site in ventricles causing PVCs.: Ectopic Focus
NUR 417
,4. PVC Treatment: Monitor hemodynamics for cause of PVC
If d/t Hypoxia - administer oxygen.
For example, if a nurse was suctioning a vented patient and noted a PVC,
we would stop suctioning and ventilate the patient with 100% oxygen.
Electrolyte replacement for imbalance
May indicate need for antiarrhythmic drugs
Beta blockers
Lidocaine
Amiodarone
5. Antiarrhythmic Drugs: Medications like beta blockers for PVC
management. 6. Mechanical Ventilation Monitoring: Assessing
patient interaction and oxygenation status.
7. Ventilator Settings: Parameters that need regular monitoring.
8. ET Tube Suctioning: Clearing secretions from the ET tube as
needed.
, 9. Spontaneous Awakening Trial (SAT): Stopping sedatives to
evaluate patient readiness.
10. Spontaneous Breathing Trial (SBT): Assessing patient with
minimal ventilator support.
11. Weaning Trial Monitoring: Observing signs to end weaning
attempts.
12. Ventilator Alarm Protocol: Always ensure alarms are
activated and functional.
13. Apnea: A cessation of breathing.
14. High-pressure alarm: Indicates an obstruction in the airway.
15. Causes of high-pressure alarm: Includes excess secretion,
kink in tube, coughing, pulmonary edema, bronchospasm, and
pneumothorax.
16. Low-pressure alarm: Indicates low exhaled volume due to
disconnection, cuff leak, or tube displacement.
17. Hypercapnic Respiratory Failure: Characterized by PaCO2
>50 with acidemia (arterial pH <7.35).
NUR 417
NUR 417 Exam 2 Review | Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. What is the priority intervention for PVCs?: First perform thorough
physical examination, health hx, confirm meds and allergies
Obtain baseline EKG, do cardiac assessment
Determine if the patient is experiencing symptoms such as chest pain,
dizziness, palpitations, or shortness of breath.
Take apical-radial pulse rate - determine pulse deficit (PVCs often will not
generate sufficient ventricular contraction to result in a peripheral pulse.)
Assess signs of decreased CO (LOCO Man)
2. QRS Complex length in PVCs: Wider than 0.12 seconds in PVCs.
3. Abnormal site in ventricles causing PVCs.: Ectopic Focus
NUR 417
,4. PVC Treatment: Monitor hemodynamics for cause of PVC
If d/t Hypoxia - administer oxygen.
For example, if a nurse was suctioning a vented patient and noted a PVC,
we would stop suctioning and ventilate the patient with 100% oxygen.
Electrolyte replacement for imbalance
May indicate need for antiarrhythmic drugs
Beta blockers
Lidocaine
Amiodarone
5. Antiarrhythmic Drugs: Medications like beta blockers for PVC
management. 6. Mechanical Ventilation Monitoring: Assessing
patient interaction and oxygenation status.
7. Ventilator Settings: Parameters that need regular monitoring.
8. ET Tube Suctioning: Clearing secretions from the ET tube as
needed.
, 9. Spontaneous Awakening Trial (SAT): Stopping sedatives to
evaluate patient readiness.
10. Spontaneous Breathing Trial (SBT): Assessing patient with
minimal ventilator support.
11. Weaning Trial Monitoring: Observing signs to end weaning
attempts.
12. Ventilator Alarm Protocol: Always ensure alarms are
activated and functional.
13. Apnea: A cessation of breathing.
14. High-pressure alarm: Indicates an obstruction in the airway.
15. Causes of high-pressure alarm: Includes excess secretion,
kink in tube, coughing, pulmonary edema, bronchospasm, and
pneumothorax.
16. Low-pressure alarm: Indicates low exhaled volume due to
disconnection, cuff leak, or tube displacement.
17. Hypercapnic Respiratory Failure: Characterized by PaCO2
>50 with acidemia (arterial pH <7.35).
