*NURSING > QUESTIONS & ANSWERS > Rasmussen - MDC III - Final Exam With Complete Solution (All)
Rasmussen - MDC III - Final Exam With Complete Solution
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Rasmussen - MDC III - Final Exam With Complete Solution respiratory alkalosis Correct Answer- high pH, low CO2 pH: 7.35-7.45 acidic-basic HCO3: 21-28 acidic-basic CO2: 45-35 acidic-basic metabolic... acidosis Correct Answer- low pH, low HCO3 pH: 7.35-7.45 acidic-basic HCO3: 21-28 acidic-basic CO2: 45-35 acidic-basic respiratory acidosis Correct Answer- low pH, high CO2 pH: 7.35-7.45 acidic-basic HCO3: 21-28 acidic-basic CO2: 45-35 acidic-basic metabolic alkalosis Correct Answer- high pH, high HCO3 pH: 7.35-7.45 acidic-basic HCO3: 21-28 acidic-basic CO2: 45-35 acidic-basic ▪ change in condition make take priority over ABCs (ex: post op bleeding is priority over an O2 Sat% of 90%) ▪ pick the patient that is going to die first Correct Answer- Priority questions...something to consider CPR, press the code button Correct Answer- You walk into your patient's room and they *don't have a pulse*, what are you going to do? bag resuscitation, press the code button Correct Answer- You walk into your patient's room and they are *not breathing but have a pulse*, what are you going to do? ▪ unconscious, pulseless ▪ shock them with the AED! Correct Answer- If you walk into a room with a patient that is in *ventricular fibrillation (v fib)* ▪ How will they present? ▪ What must we do to get them out of that state? ▪ make them bear down (valsalva maneuver) ▪ make them cough (vagal maneuver) Correct Answer- If you walk into a room and a patient is alert and oriented, speaking to you, has a pulse, but their cardiac monitor shows they are in *ventricular tachycardia* ▪ What are you going to do? Supraventricular Tachycardia (SVT) Correct Answer- Which cardiac rhythm requires the patient to take *adenosine*? ▪ they may end up with a *blood clot* because the blood is pooling in the atria Correct Answer- What is our priority concern for a patient in *atrial fibrillation (a-fib)*? *control RVR for patient:* ▪ give anticoagulants ▪ beta blockers, digoxin, diltiazem ▪ if meds don't work...cardioversion (synchronized shock to re-start the rhythm) ▪ if cardioversion doesn't work...ablation Correct Answer- Nursing Interventions: *A-fib RVR* ▪ chest pain ▪ SOB ▪ diaphoresis ▪ N/V ▪ hypertension ▪ tachycardia ▪ jaw pain, anxiety, indigestion (women) ▪ elevated troponin levels ▪ EKG changes - ST elevation Correct Answer- If you have a patient who comes into the ED and they are having an MI, what are the signs/symptoms? lab values to confirm this? *Oxygen* - 1st *Nitro* - given sublingual, 3 doses q 5 min (home), drip (hospital), drops BP (vasodilator) *Aspirin* - antiplatelet, stops clotting, 325 mg, chew it *Morphine* - calms the patient down, helps pain Correct Answer- Treatment: *Myocardial Infarction* ▪ CPK ▪ troponin ▪ CK-MB ▪ BNP Correct Answer- Name the cardiac enzymes angioplasty stent the artery angiogram remove clots [Show More]
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