(VERIFIED ANSWERS)/ NEWEST UPDATE 2025
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 environmental
who is experiencing delirium stimuli by decreasing noise and light levels.)
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. Preload,
inotropic when it: not afterload, is decreased. Chronotropic drugs increase heart
A. Decreased afterload rate. Treatment of CHF is an indication for use not an action of
B. Increases heart rate
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 your
C. Sinus arrhythmia
heart experiences an early beat, a brief pause usually follows.)
D. Frequent ventricular ectopy
When administering an A (The ECG is the most important parameter to assess. B, C, and
antiarrhythmic agent, which of D need to be monitored, but the ECG is the most important.)
the following assessment
parameters is the most
important for the nurse to
evaluate?
A. ECG
B. Pulse rate
C. Respiratory rate
D. Blood pressure
, Epinephrine is used to treat B (Bronchodilation results from stimulated beta receptors, and
cardiac arrest and status cardiac effects result from the stimulation of ß1 receptors.
asthmaticus because of which of Choice A does not address respiratory effects of medication.
the following actions? Choice C is incorrect because α-stimulating drugs cause
vasoconstriction. Bronchodilation, not bronchoconstriction,
A. Increased speed of results from ß2 activity.)
conduction and
gluconeogenesis
B. Bronchodilation and
increased heart rate,
contractility, and conduction
C. Increased vasodilation and
enhanced myocardial
contractility
D. Bronchoconstriction and
increased heart rate
Following norepinephrine B (Because decreased perfusion is a side effect of
(Levophed) administration, it is norepinephrine (Levophed), the nurse must check circulation
essential to the nurse to assess: frequently. Capillary refill is not a reliable indication of
perfusion in a shock state. Choices A and D are not specific for
A. electrolyte status norepinephrine.)
B. color and temperature of
toes and fingers
C. capillary refill
D. ventricular arrhythmias
When administering dopamine C (The nurse is responsible for knowing compatible solutions
(Intropin), it is most important before administering dopamine (Intropin). It is important to
for the nurse to know that: know that drug action varies by dose, but the physician is
A. the drug's action varies responsible for determining the dose. Dopamine should not
according to the dose. be used instead of fluid replacement. Choice D is incorrect
B. the drug may be used because, although it is true, it is not the nurse's primary
instead of fluid replacement. concern. It is a collaborative action in which the physician is
C. the drug cannot be directly involved in determining the rate.)
mixed in solutions
containing bicarbonate or
aminophylline.
D. the lowest dose to produce