DETAILED ANSWERS (VERIFIED ANSWERS)/ NEWEST UPDATE
Terms in this set (256)
Which patient is most at risk for D
developing delirium?
a. A 50-yr-old woman with
cholecystitis
b. A 19-yr-old man with a
fractured femur
c. A 42-yr-old woman having
an elective hysterectomy
d. A 78-yr-old man admitted to
the medical unit with
complications related to heart
failure
,You are caring for a patient B (For treating delirium, the nurse should reduce
who is experiencing environmental stimuli by decreasing noise and light levels.)
delirium due to a lack of
sleep. Which of the
following nursing
interventions would be
inappropriate in treating
this patients' condition?
a.You treat the patients'
primary diagnosis that is
causing the delirium.
b. You turn on the lights and a
radio next to the patients' bed
to reorient them.
c. You use appropriate touch
and verbal communication to
help reorient the patient.
d. You put an easy-to-read
clock in the patients' room and
a calendar close to their bed.
Normal Potassium level 3.5-5.0
Normal PR interval length <0.2 seconds
Normal QRS interval length <0.12 seconds
Normal CVP (Central venous 2-8 mmHg
pressure) in adults
Normal cardiac output in adults 4-8 L/min
Normal cardiac index in adults 2.2-4 L/min/m squared
Normal MAP in adults 70-105 mmHg
The action of medication is C (Inotropic drugs increase the force of contraction.
inotropic when it: Preload, not afterload, is decreased. Chronotropic drugs
A. Decreased afterload increase heart rate. Treatment of CHF is an indication for use
B. Increases heart rate
not an action of inotropic drug.)
C. Increases the force of
contraction
D. Is used to treat CHF
Which of the following ECG D (Ventricular ectopy can be a life-threatening arrhythmia;
findings alerts the nurse that therefore, the client needs an arrhythmic. Other choices are not
the client needs an arrhythmias that need to be treated. An ectopic rhythm is an
antiarrhythmic? irregular heart rhythm due to a premature heartbeat. Ectopic
, A. Normal sinus rhythm rhythm is also known as premature atrial contraction,
B. Sinus bradycardia
premature ventricular contraction, and extrasystole. When
C. Sinus arrhythmia
your heart experiences an early beat, a brief pause usually
D. Frequent ventricular ectopy
follows.)
When administering an A (The ECG is the most important parameter to assess. B, C,
antiarrhythmic agent, which of and D need to be monitored, but the ECG is the most
the following assessment important.)
parameters is the most
important for the nurse to
evaluate?
A. ECG
B. Pulse rate
C. Respiratory rate
D. Blood pressure