Advanced Med/Surg Critical Care Nursing Review + Shock & Sepsis

A client with a TBI should be monitored for which sign of increasing intracranial pressure?

Medications used to treat this arrhythmia include all of the following except:

The thyroidectomy patient c/o numbness and tingling in hands, feet and around mouth. The nurse suspects...

Universal blood donor is....

Which lethal rhythms do you difibrillate?

Identify this rhythm

Initial treatment of shock is...

a doorway assessment is useful quickly determining

Early stages of PAD include:

Any condition that causes severe dysfunction of the left ventricle, such as a MI or CHF is

Reaction to PCN could cause _______ shock

Arterial lines can be used for....

___ draw water from cells into blood vessels.

The nurses assesses for an air leak in the

Heparin 25,000 units in 500 mL of D5W. Infuse 800 units/hour. How many mL/hour should the pump be set at?

the nurse expect to observe what when assessing the client with decorticate posturing?

Which is the most dangerous type of blood transfusion reactions?

Indication a client is at risk for autonomic dysreflexia

Vasodilation due to overstimulation of PNS/understimulation of SNS

Type of burn: blistered, moist, painful

Spinal cord transection of C3 means what kind of care will the client require?

What part of the brain controls respiratory control?

vasopressors (dopamine) are often used only after fluids have failed to raise BP in shock

What is the global marker for coagulation activation?

compensatory stage of shock

A Dr is giving Alteplase for confirmed ischemic stroke. What should actions should the nurse take?

resistance to flow lf ventricle overcomes to eject bld

A patient with a PE is receiving a heparin infusion. What lab should be reported first?

The patient develops this rhythm immediately post CABG. The nurse should immediately:

Who is the highest group at risk for bacterial meningitis?

A patient post CABG has this profile. CO 3.8, CVP 15, PAP 56/28, BP 78/52. The nurse suspects:

expected finding of hypovolemic shock

Glasgow Coma Scale of 6 indicates?

Bacteria or toxins in blood will cause gross vasodilation in this type of shock?

a client with a DVT should be taught

If patient unable to assist, what neurologic reflex do you assess for deterioration?

A stabbing victim is brought to ED. VS: 80/50, HR 110, RR 28. The nurse suspects:

Meningitis symptoms that a nurse should expect

Name That Rhythm

SCI - to prevent dysreflexia the plan of care should include:

HR 210, alert, regular atrial and ventricular rhythm with P wave hidden in the T wave

When a stroke is suspected, what ER diagnostic test is ordered?

What is important to now about enoxaparin?

Disaster nursing - Select the appropriate triage tag: awake, 4” wound head, SOB

_____ contain electrolytes similiar to plasma, mimic body's ECF, & promotes UOP

SNS produces vasoconstriction in early stages of shock

Hyperglycemia is a common adverse event when taking

Systolic pressure (afterload) is determined by the forces of ventricular contractions

_______ is the amount of blood that the left ventricle pumps into the aorta.

Which drug is often used in anaphylaxic shock?

An example of a crystalloid is

MODS is a common complication with progressive impairment of ____ or more organs.

Which ABG is associated with acute respiratory failure?

A pt with severe headache, vomiting and went unrsponsive, 198/101, 38.0C, RR 26. What condition should the nurse suspect

What type of med increases force of contractions and pushes more blood out of heart (SV)?

A patient has a cardiac output of 3.8 L/min, CVP 15 mm Hg, and PCWP 24. The nurse suspects:

The local organ bank should be contacted

Rapid response assesses for MEWS of 3 or greater. Why?

Common acid-base imbalance seen in patients with AKI

Systolic pressure (afterload) is determined by the forces of ventricular contractions

Which client is the nurses priority?

A patient is admitted with an acute inferior MI. The nurse expects ST elevation in which leads?

Which ABG is associated with DKA?

A patient receiving a heparin infusion vomits blood. Hg 8.8, Hct 28, PTT > 100. The nurse expects an order for:

Which patient is at risk for hypovolemic shock? A pt with...

Identify this rhythm:

Indication that the client is at risk for autonomic dysreflexia

A patient with a AAA presents to the ED. Which signs & symptoms indicate possible rupture?

A patient is admitted with an acute anterior MI. The nurse expects ST elevation in which leads?

A patient has a change in rhythm. The nurse should:

Which hemodynamic profile is associated with hypovolemic shock?

A client with brain injury has increased ICP. Which osmotic diuretic should the nurse prepare to administer?

A patient presents with slurred speech right arm weakness. What is the highest priority test?

Disaster nursing - select the appropriate triage tag: Unconscious, bleeding, no pulse

Nursing management of postop stroke clients includes

The nurse suspects worsening AKI based on this assessment finding