NSG 261 TEST 2- COMPLETE
QUESTIONS AND CORRECT ANSWERS
3rd phase of burn recovery - CORRECT ANSWER- Rehab after
72hrs. Grafting, rehab, support groups, wound care, hyperboric
chamber.
Causes of aneurysms - CORRECT ANSWER- HTN, CAD, trauma,
genetics, marfans syndrome, kawasakis disease, turner syndrome
Abdominal aneurysm S/S - CORRECT ANSWER- No pain or lower
back pain, bruit, pulsating mass
Thoracic aneurysm S/S - CORRECT ANSWER- CP, difficulty
swallowing (dysphagia), SOB
Anastomotic aneurysm causes - CORRECT ANSWER- infection of
graft, suture failure, or graft failure
Aneurysms preop treatment - CORRECT ANSWER- No straining,
stool softners, keep BP low with vasodialators (Cardene/ nicardipene or
nitroglycerin/ nitropreside)
Aneurysms postop treatment - CORRECT ANSWER- keep BP low
with vasodialators (Cardene/ nicardipene or nitroglycerin/ nitropreside),
doppler pulses, check bleeding
Normal PRI, QRS, and QT - CORRECT ANSWER- PRI: 0.12-0.21
QRS: 0.06-0.12
QT: 0.36- 0.44
, SVT treatment - CORRECT ANSWER- valsava maneuvar (bear
down), cough hard, adensine 6mg first, then 12mg if needed, then
amiodrone or cardizem, then cardioversion
Adensine considerations - CORRECT ANSWER- Have defibulator
near, do not use for a fib or a flutter
Sinus bradycardia treatment - CORRECT ANSWER- Atropine and
pacing. Do not give atropine if the bradycardia is caused by a 3rd degree
heart block
Afib causes - CORRECT ANSWER- Phemothorax, pneumonia, major
chest surgery, open heart, chest tube placement
Afib treatment - CORRECT ANSWER- Amiodorone/ cardizem,
anticoagulants, cardio version
Cardio version considerations - CORRECT ANSWER- Never cardio
vert V tach or V fib. Need a tEE before cardio vert to ensure there are no
blood clots
Mobitz I (Wenkeback) vs Mobitz II strip - CORRECT ANSWER-
Mobitz I/ Wenchkbach: PRI gets longer and longer until there is a QRS
drop
Mobitz II: PRI is regular but sometimes missing a QRS
Treatment for 1st and 2nd degree heart block - CORRECT ANSWER-
Lipitor given at night, statin, anticoagulation
Third degree heart block causes and treatment - CORRECT
ANSWER- Severe CHF, CAD, MI, lyme disease. Treated with a pacer
Vtach or Vfib treatment - CORRECT ANSWER- CPR, defiburlate, Epi
push after the first round of CPR- within 5 minutes and then every 5
minutes
Asystole or PEA treatment - CORRECT ANSWER- CPR and epi
QUESTIONS AND CORRECT ANSWERS
3rd phase of burn recovery - CORRECT ANSWER- Rehab after
72hrs. Grafting, rehab, support groups, wound care, hyperboric
chamber.
Causes of aneurysms - CORRECT ANSWER- HTN, CAD, trauma,
genetics, marfans syndrome, kawasakis disease, turner syndrome
Abdominal aneurysm S/S - CORRECT ANSWER- No pain or lower
back pain, bruit, pulsating mass
Thoracic aneurysm S/S - CORRECT ANSWER- CP, difficulty
swallowing (dysphagia), SOB
Anastomotic aneurysm causes - CORRECT ANSWER- infection of
graft, suture failure, or graft failure
Aneurysms preop treatment - CORRECT ANSWER- No straining,
stool softners, keep BP low with vasodialators (Cardene/ nicardipene or
nitroglycerin/ nitropreside)
Aneurysms postop treatment - CORRECT ANSWER- keep BP low
with vasodialators (Cardene/ nicardipene or nitroglycerin/ nitropreside),
doppler pulses, check bleeding
Normal PRI, QRS, and QT - CORRECT ANSWER- PRI: 0.12-0.21
QRS: 0.06-0.12
QT: 0.36- 0.44
, SVT treatment - CORRECT ANSWER- valsava maneuvar (bear
down), cough hard, adensine 6mg first, then 12mg if needed, then
amiodrone or cardizem, then cardioversion
Adensine considerations - CORRECT ANSWER- Have defibulator
near, do not use for a fib or a flutter
Sinus bradycardia treatment - CORRECT ANSWER- Atropine and
pacing. Do not give atropine if the bradycardia is caused by a 3rd degree
heart block
Afib causes - CORRECT ANSWER- Phemothorax, pneumonia, major
chest surgery, open heart, chest tube placement
Afib treatment - CORRECT ANSWER- Amiodorone/ cardizem,
anticoagulants, cardio version
Cardio version considerations - CORRECT ANSWER- Never cardio
vert V tach or V fib. Need a tEE before cardio vert to ensure there are no
blood clots
Mobitz I (Wenkeback) vs Mobitz II strip - CORRECT ANSWER-
Mobitz I/ Wenchkbach: PRI gets longer and longer until there is a QRS
drop
Mobitz II: PRI is regular but sometimes missing a QRS
Treatment for 1st and 2nd degree heart block - CORRECT ANSWER-
Lipitor given at night, statin, anticoagulation
Third degree heart block causes and treatment - CORRECT
ANSWER- Severe CHF, CAD, MI, lyme disease. Treated with a pacer
Vtach or Vfib treatment - CORRECT ANSWER- CPR, defiburlate, Epi
push after the first round of CPR- within 5 minutes and then every 5
minutes
Asystole or PEA treatment - CORRECT ANSWER- CPR and epi
