Exam 10: Rapid Response Teams and Code Management

A 74-year-old patient is admitted to the coronary care unit with an inferior wall myocardial infarction and develops symptomatic bradycardia with premature ventricular contractions every third beat (trigeminy).The nurse knows to prepare to administer which drug?

Which rhythm would be an emergency indication for the application of a transcutaneous pacemaker?

Which code drugs can be given safely through an endotracheal tube? (Select all that apply.)

When doing manual ventilations during a code,the nurse would administer ventilations following which guideline?

Post-resuscitation goals include which of the following? (Select all that apply.)

The code team has just defibrillated a patient in ventricular fibrillation.Following CPR for 2 minutes,what is the next action to take?

The monitor technician notifies the nurse "stat" that the patient has a rapid,chaotic rhythm that looks like ventricular tachycardia.What is the nurse's first action?

A 90-year-old nursing home patient is admitted to the critical care unit with a severe case of pneumonia.No living will or designation of healthcare surrogate is noted on the chart.In the event this patient needs intubation and/or cardiopulmonary resuscitation,what should be the nurse's action?

During a code situation,the nurse would prepare to use which preferred intravenous fluid?

The nurse knows that in advanced cardiac life support,the secondary survey includes steps A-B-C-D where "D" refers to:

A patient develops frequent ventricular ectopy.The nurse prepares to administer which drug?

The patient has pulseless electrical activity ( PEA ).The doctor decides that the cause of the PEA is pericardial tamponade.What is the most appropriate treatment for pericardial tamponade?

Which of the following statements about defibrillation are correct? (Select all that apply.)

It is determined that the patient needs a transcutaneous pacemaker until a transvenous pacemaker can be inserted.What is the most appropriate nursing intervention?

Ventricular fibrillation should initially be treated by which of the following? (Select all that apply.)

The patient has a transcutaneous pacemaker in place.Pacemaker spikes followed by QRS complexes are noted on the cardiac rhythm strip.To determine if the pacemaker is working,the nurse must do which of the following?

Laypersons should use which device to treat lethal ventricular dysrhythmias that occur outside a hospital setting?

A patient is brought to the critical care unit after a motor vehicle crash.On admission,the patient is complaining of dyspnea and chest pain.Upon examination,the nurse notes a lack of breath sounds on the left side and a tracheal shift.What would be the most likely diagnosis?

The patient's monitor shows bradycardia (heart rate of 40 beats/min)and frequent premature ventricular contractions (PVCs)with a measured blood pressure of 85/50 mm Hg.The nurse anticipates the use of which drug?

A patient is admitted to the critical care unit with bradycardia at a heart rate of 39 beats/min and frequent premature ventricular contractions.Upon assessment,you note that she is lethargic and has complained of dizziness for the past 12 hours.Which of the following are acceptable treatments for symptomatic bradycardia? (Select all that apply.)