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Immediately following placement of an endotracheal tube, correct position of the tube can be confirmed by: A. arterial blood gases B. a cuff pressure manometer C. an end-tidal CO2 detector D. observation of suctioned secretions - correct answer️️C. an end-tidal CO2 detector The following intervention(s) can decrease the incidence of pneumonia in patients with endotracheal tubes in place: A. brush teeth with a soft brush B. brush tongue and gums with a foam swab C. suction oropharyn...

You have just received change of shift report. Which patient should you assess first? a. 62 year-old man who is scheduled for a cardiac cath, and is ready to be transported now b. 58 year-old woman with COPD with an O2 saturation of 92% on 2 liters of O2, who is scheduled to be discharged home on O2 c. 36 year-old man admitted with an exacerbation of asthma with RR 36 at rest, and whose wheezing has diminished d. 72 year-old woman with history of asthma with HR 90 and is due for her beta-blo...

Tricuspid Atresia - correct answer️️Blood Flow: Systemic blood flow cannot enter RV due to agenesis of tricuspid valve, deoxygenated blood passes through an opening in the atrial septum into LA and never enters pulmonary circulation, deoxygenated blood mixes with oxygenated blood in LA, and goes to lungs thru a PDA Tricuspid Atresia - correct answer️️S/S: Rapid Rs, difficulty feeding, cyanosis/grey Tricuspid Atresia - correct answer️️Heart/Lung: Crackles, wheezes, murmur Car...

Hypoplastic left heart - correct answer️️Left side of heart is underdeveloped. Left ventricle is small and aortic atresia. Most blood flows across patent foramen ovale to Right atrium..to Right ventricle and out the pulmonary artery. Descending aorta receives blood from the PDA to supply the systemic circulation. PDA closure >>rapid deterioration and CHF. TX: Keep ductus open w/ Prostaglandin E infusion. SURG TX: #1 is Norwood procedure to create a new aorta using the main pulmo...

A child diagnosed with tetralogy of fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first? a) obtain an order for sedation for the child b) assess for an irregular heart rate and rhythm c) explain to the child that it will only hurt for a short time d) place the child in knee-to-chest position - correct answer️️Answer: D. ...

Which headache meds should never be combined? - CORRECT ANSWERS️️ergotamine and triptans should never be combined because they both have vasoconstrictive effects, which can lead to complications such as stroke or myocardial infarction. What is the first line med for migraine with auro + vomiting - CORRECT ANSWERS️️first line abortive med for migraine with auro (esp repeated vomiting) - IV prochlorperazine What type of fractures are common low-impact injuries and which are high-im...

Leading cause of pediatric morbidity - CORRECT ANSWERS️️Falls. Most common from 0-14 Leading cause of pediatric morality - CORRECT ANSWERS️️MVA Anatomic differences of kids - CORRECT ANSWERS️️1. more compact organs 2. relatively compact head 3. more elastic ligaments kids response to shock - CORRECT ANSWERS️️Normal BP w/ early shock. Different baseline HR, BP Greater propensity for spinal cord injury without radiologic abnormality (SCIWORA) More heat loss (sa) ...

Cushing's Syndrome/Disease - CORRECT ANSWERS️️cortisol excess typically caused by pituitary adenoma 60-70% of cases. Central obesity w/ extremity wasting. dorsocervical fat pad. rounded facies. spontaneous bruising. purple striae hyperpigmentation poor wound healing/ skin infections. Dexamethasone suppression test. 1mg dexamethasone at 2300 hours and measure serum cortisol at 0800. Remove sources of excess and manage consequences ( HTN, hypokalemia, hyperglycemia.) A...

Latent Phase of Labor - CORRECT ANSWERS️️Onset of labor until cervical dilation reaches 4-6 m Long arc rotation - CORRECT ANSWERS️️Most commonly performed by babies beginning labor in LOP presentation FHR Variability: controlling system - CORRECT ANSWERS️️Parasympathetic/sympathetic nervous system Pudendal Anesthesia Administration - CORRECT ANSWERS️️Ideal timing to administer in multip women is at 8-9cm, just before complete dilation, to cover birth and repair Su...

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