Exam 4: NUR201 / NUR 201 (Latest
2024 / 2025 Update) Medical- Surgical Nursing I | Questions and Verified Answers 100% Correct | Grade A - Fortis
Question:
Nurse is caring for a patient who is receiving IV furosemide (lasix) and morphine for the treatment of acute decompensated heart failure with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective?
Answer:
Reduced dyspnea with the head of bed at 30 degrees
Question:
The nurse plans discharge teaching for a patient with chronic heart failure who has prescriptions for digoxin (Lanoxin) and hydrochlorothiazide (HydroDIURIL). Appropriate instructions for the patient include
Answer:
Notify the health care provider if nausea develops (any alteration of potassium your body uses digoxin differently. Possible dig toxicity)
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Question:
The nurse obtains a rhythm strip on a patient who has had a myocardial
infarction and makes the following analysis: no visible P waves, P-R interval
not measurable, ventricular rate 162, R-R interval regular, and QRS complex wide and distorted, QRS duration 0.18 second. The nurse interprets the patient's cardiac rhythm as
Answer:
Ventricular tachycardia (tombstone wide QRS) The widow maker patient going unconscious bp low, may or may not have a pulse. Shock it.
Question:
How is Supraventricular tachycardia different from ventricular tachycardia?
Answer:
SVT QRS looks normal but very fast. HR 150-220 bpm Vagal stimulation (bare down) Medication Adenosine give as close to the heart as possible push FAST Slam flush w 20 cc ns.
Question:
A patient with dilated cardiomyopathy has new onset atrial fibrillation that has been unresponsive to drug therapy for several days. Teaching for this patient would include information about
Answer:
(a-Fib) anticoagulant therapy. In a fib the ventricles do not push all of the blood out so it just sits there and coagulates. The clots then can move out and cause stroke etc. (Fib=quiver)
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Question:
If patient has been in A-Fib longer than 24 hrs what is treatment?
Answer:
Send home on anticoagulants for 4-6 weeks as long as stable and asymptomatic.
Question:
Tell me what is happening in the heart with ventricular fibrillation?
Answer:
Ventricle is just quivering, not perfusing, unresponsive, pulseless and apneic How do we treat? CPR and Shock them
Question:
What is the difference between 1st, 2nd and 3rd degree heart block?
Answer:
1st av conduction taking longer 2nd av conduction just missing some beats 3rd complete block
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Question:
What does SBAR stand for?
Answer:
Situation Background Assessment Recommendation
Question:
RHF
Answer:
backward failure; ↑ venous hydrostatic pressure; neck vein distention, hepatomegaly, edema (systemic)
Question:
LHF
Answer:
forward failure; pulmonary edema, pillow orthopnea, paroxysmal nocturnal dyspnea
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