Exam 1: Adult

Which of the following drugs is best described as decreasing the heart rate and blood pressure, therefore decreasing the oxygen demand to the heart?

The nurse is called in to see a 47 year old patient who underwent abdominal surgery to remove abdominal tumors. He anxiously tells her that he feels oozing around his incision. When the nurse assesses the site, she notes part of the bowels protruding through a dehiscence in the wound. The first thing the nurse would need to do:

What would be identified on the arterial blood gas results as a reflection of acute respiratory distress syndrome?

The nurse is assessing the newly placed chest tube in a patient and notices the constant bubbling in the water seal chamber. An appropriate action to take would be:

The nurse is determining which room to put the incoming OR admission- a 42 year old woman who underwent an appendectomy for a ruptured appendix. Which would be the most appropriate roommate for the incoming patient?

The husband of a 59 year old woman about to begin Thrombolytic Therapy for a myocardial infarction. What is the best way to explain Thrombolytic Therapy to him?

A patient with a new diagnosis of schizophrenia has been taking haloperidol for a week. The nurse would suspect an adverse reaction of Tardive Dyskinesia if the patient had the following symptoms:

The nurse is preparing to wean a patient from mechanical ventilation. What option is NOT a method of weaning the patient from mechanical ventilation?

All of these signs and symptoms are early stages of Hypovolemic shock except for:

A 33 year old female has been admitted with severe abdominal pain that has lasted greater than 3 days. She has had severe diarrhea and rectal bleeding for 48 hours. She is scheduled for an Endoscopy in one hour. What disease does this patient most likely have?

A nurse is calling the doctor to obtain an order for medication to help maintain the tissue perfusion for a patient with acute respiratory distress syndrome who is continuing to be Hypotensive. Which medication would she anticipate being ordered?

What is the drug of choice for treating pain in the patient with acute Pancreatitis?

What does an elevated level of B-type Natriuretic Peptide indicate?

You have received report and are making your first rounds. You observe that your 87 year old female patient, in the hospital for exacerbation of congestive heart failure, has mistakenly received an infusion of 750 cc of normal saline. What will you look for in the next few hours?

The nurse is evaluating the 12 lead electrocardiograph of a patient who had a myocardial infarction approximately 2 hours ago. The doctor stated the MI was still "evolving." What abnormalities would the nurse expect to see to reflect the ischemic event?

A code has been called on a 50 year male on the medicine ward due to no pulse. Advanced Cardiac Life Support protocol is begun and the first rhythm strip demonstrates ventricular tachycardia. What is the first choice of treatment for a patient with unstable ventricular tachycardia?

What is a possible side effect of Thrombolytic Therapy that should be reported to the doctor immediately?

The nurse is taking care of a patient who is has been admitted with a diagnosis of "brain dead post traumatic injury." The nurse would expect all of the following clinical manifestations except:

A nurse is taking care of a patient who has Hemoglobin of 4.2. The nurse hung the second unit of packed red blood cells five minutes ago and the patient is suddenly flushed, breathing rapidly. The monitor shows a heart rate of 150. What is the first thing the nurse should do?

Which gland is responsible for the release of Calcitonin?