Exam 1: Adult

A 49 year old male patient has experienced a myocardial infarction with an approximate 55% damage to his ventricle. What interventions would most likely NOT be performed for this patient to avoid the complication of cardiogenic shock?

The nurse has called the doctor about a patient suspected to be experiencing a hypertensive crisis. What medications would the nurse anticipate the doctor ordering?

Besides increasing the risk for increased intrathoracic pressure, what other adverse effect could occur when a Constant Positive Airway Pressure (CPAP) is left at higher than 10cm H20?

Dopamine is a drug commonly used with patients who are going through cardiogenic shock. What is the primary effect of Dopamine?

A patient with a history of previous myocardial infarction is being monitored on the cardiac care unit when he suddenly goes into ventricular fibrillation. Electrical external defibrillation is attempted by the attending physician however it is unsuccessful. What is the drug of choice for ventricular fibrillation after failed electrical external defibrillation?

A patient being is being admitted to the floor after 4 days of nausea, vomiting and diarrhea with a diagnosis of Hypernatremia. What signs and symptoms would you expect to see?

The nurse is taking care of a patient with Ketoacidosis. She is concerned that the patient is developing further acidosis. The latest ABG's reflect a pH of 7.0. What treatment of acidosis is most likely to correct this imbalance?

A patient is admitted in the ER for severe back pain without relief. The patient tells the nurse that he has been taking 4 tabs of Acetaminophen every three hours for back pain with no relief. What lab values would you look at to assess for damage caused by acetaminophen overdose?

What is the most common cause for Cardiogenic shock?

What are some signs and symptoms of an impending Aneurysm rupture?

When preparing to remove an endotracheal tube, the nurse should NOT do which of the following:

What is the best way a nurse can prevent the development of pressure ulcers in a patient who is in a drug induced coma?

What is the most common cause of Hypovolemic shock?

A 35 year old woman comes to your office. She states that recently she has been having a lot of problems. Some of her symptoms include periodic episodes of feeling like she is very afraid. You decide that there is likely a psychiatric component to her symptoms and decide to treat her medically with a combination of the most appropriate medications. A panic attack does NOT involve the sudden appearance of which of the following symptoms:

What are the most likely antibiotics used to treat Helicobacter pylori infection?

An experienced intensive care unit nurse is teaching a class of new nurses. What would she emphasize as nursing interventions to prevent ventilator associated pneumonia?

A 50-year-old patient who is 72 hours post-operative repair of a ruptured abdominal aortic aneurysm suddenly becomes dyspneic and his respiratory rate increases from 24 to 40/min. An arterial blood gas sample obtained while the patient is receiving oxygen via a nasal cannula at 6L/min reveals pH of 7.50, pCO2 of 31 and pO2 of 48. A chest x-ray is obtained and a "ground-glass-like appearance" is reported. Auscultation of the lungs reveals basilar rales that were not previously present. On the basis of this information, the nurse should suspect that the patient has developed

You are working in a busy emergency room when an 84 year old male comes rushing in with crushing pain over his sternum. What is the first treatment for angina?

You are attending to an 87 year old female, when a physician assistant states that your patients cardiac output is decreasing. Why is cardiac output important?

All of the following diagnostic tests are part of the diagnostic workup of Amyotrophic Lateral Sclerosis (ALS), except