Prophecy Trauma ICU Exam A v2
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An adult male client was admitted to the trauma
service after an MVC. During his stay, the patient
suffers an acute MI. He is attached to a cardiac
monitor and has an IV catheter in place. His
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cardiac rhythm has been NSR with occasional
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PVCs. The nurse notes a sudden change on the
cardiac monitor screen to a very irregular,
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chaotic-looking pattern. The client appears to be
sleeping. The primary action on the part of the
nurse is to: Ans: Check the client's ECG
electrodes.
Your patient has a serum sodium of 162 and a
serum osmolality of 330. What pathological
condition do you suspect? Ans: SIADH
A client had a right-sided craniotomy due to an
SDH. What neurological findings are consistent
with this injury? Ans: Left sided weakness with
right visual disturbance.
The #1 cause of traumatic death in the elderly is:
Ans: falls
, 2
Which of the following IV push medications
requires cardiac monitoring? Ans: cardizem
(diltiazem)
For the following ABG values, please interpret
the acid-base abnormality:
pH = 7.56
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PaCO2 = 24 mmHg
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HCO3 = 23 mEq/L Ans: Respiratory alkalosis
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Which of the following assessment findings are
indicative of spinal or neurogenic shock? Ans:
hypotension and bradycardia
Whenever there is an increase in carbon dioxide
levels, the pH will: Ans: decrease
What is the normal value of PAWP? Ans: 4-12
mmHg
Which of the following is NOT a function of
angiotensin II? Ans: causes vasodilation
The abdominal organ MOST susceptible to injury
in blunt trauma is the: Ans: liver