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A 55 y/o steroid dependent woman with rheumatoid arthritis
undergoes a CABG x 4. She was doing well in the ICU 1 day
post op, but then has a run of V-Tach and V-Fibrillation. The
nurse recognizes this may be due to the following:
A. Reperfusion after CABG
B. Reocclusion after CABG
C. Acute adrenal crisis from being off her medications
preoperatively D. Hypervolemia and hypokalemia - ANSWER-
C. Acute adrenal crisis from being off her medications
preoperatively
A 68 y/o male had a AAA repair 3 days ago but is now in
renal failure. The
nurse understands the likely causes for
this may be:
A. Post renal kidney stone obstruction
B. Malignant hyperthermia
,C. Rhabdomyolysis
D. Acute tubular necrosis due to aortic cross clamping for
longer than 30 minutes in surgery. - ANSWER-D. Acute
tubular necrosis due to aortic cross clamping for longer than
30 minutes in surgery.
Rationale: Kidney stones, malignant hyperthermia, and
rhabdomyolysis are not
results of a AAA surgical procedure
specifically.
A 72 y/o man is in the ICU for chronic renal failure.
What electrolyte
abnormalities would the nurse
watch for?
A. Decreased BUN and Creatinine from
diseased kidneys
B. High pH and
alkalosis
C.
Hyperkalemia
D. Thrombocytopenia - ANSWER-C.
Hyperkalemia
The nurse is providing care for a patient with pyelonephritis.
What treatment is
, appropriate for this
patient?
A. Restrict oral and IV fluids to prevent
renal failure
B. 2 L hypertonic solution with
magnesium rider
C. 2 Grams
Ceftriaxone
D. Prepare patient for emergent dialysis - ANSWER-C. 2
Grams Ceftriaxone
Rationale: Appropriate therapy for pyelonephritis includes:
Give 2 L of IV fluid, Give 2 Tylenol #3 or similar pain control.
Give 2 gm ceftriaxone. If the patient can tolerate two glasses of
water and fever decreases by 2 degrees:
Trimethoprim/Sulfamethoxazole (TMP/SMX) double-strength
BID for two weeks; follow-up in two days for progress check.
Toxic Shock, Myxedema coma, and Addisonian Crisis are all
types of what type
of
shock?
A. Neurogenic
B. Anaphylactic
C. Distributive
D. Hypovolemic - ANSWER-C. Distributive