4Th Semester Finals

Front 1

Sunburn priority is

Back 1

Pain

Front 2

When is a patient going to feel hypoglycemic if they take NPH insulin at 0800?

Back 2

NPH peak is 4- 12hrs some book say 6 -12hrs.

Patient will experience hypoglycemia at 2-6pm.

Approximately 1400 to

Front 3

Tumor lysis syndrome

Back 3

Leads to hyperlipidemia. Patient is treated with Allopurinol (Zyloprim)

Front 4

Hyperparathyroidism nursing intervention:

Back 4

1. Caused by increased secretion of PTH.

2. More frequent in women.

3. Signs and symptoms of hypercalcemia:

a. Increased serum calcium.

b. Bone calcification

c. renal calculi

d. Apathy

e. fatigue

f. muscle weakness

g. nausea and vomiting

h. constipation

i. hypertension

J. cardiac dysrhythmias.

h. psychological manifestations.

Front 5

Treatment of parathyroidectomy are:

Back 5

1. Hydration with IV fluids.

2. encourage mobility and reduce calcium excretion

3. Avoid thiazide diuretics and large doses of vitamin A and D.

4. Antacid with calcium such as Tums and Maalox.

5. encourage fluids and avoid excess or restricted calcium.

Front 6

Medications used to reduce bone reabsorption and hypercalcemia in parathyroidism are:

Back 6

1. Pamidronate (Arodia)

2. Alendronate (Fosamax)

These meds are used for short-term treatment and to reduce bone pain.

Front 7

Hypercalcemic crises can lead to:

Back 7

Cardiac arrest

Front 8

Chvostek sign is evidence in:

Back 8

Hypocalcemia.

1.You will see spasm of the facial muscles elicited by tapping the facial nerve in the region of the parotid gland.

2. It is an abnormal reaction to the stimulation of the facial nerve. When the facial nerve is tapped at the angle of the jaw (i.e. masseter muscle), the facial muscles on the same side of the face will contract momentarily (typically a twitch of the nose or lips) because of hypocalcemia.

3. Seen in tetany late sign.

Front 9

Bacterial meningitis is caused by

Back 9

Caused by:

1. Streptococcus pneumoniae, 2. Neisseria meningitis,

3. H. influenzae.

It is not caused by C. Neoformans

Front 10

Battle sign is ?

Back 10

Bruising in mastoid process behind the ear this is due to skull fracture.

Front 11

Autonomic dysreflexia occurs when?

Back 11

It occurs after spinal cord has resolved .

Signs and symptoms of autonomic dysreflexia are:

1. Pounding headache,

2. Hypertension,

3. Profuse diaphoresis on the forehead,

4. Nausea,

5. Nasal congestion,

6. Bradycardia,

7. Spinal cord lesion above T6, 8. Piloerection.

Front 12

Neurogenic shock is

Back 12

1. Spinal cord injury on the cervical and thoraic area.

2. Due to the loss of function of the autonomic nervous system.

3. Paralyzed portion of the body do not perspire.

4. Venous pooling occurs due to peripheral vasodilation.

5. Decreased BP

6. Decreased heart rate

7. Decreased cardiac output

Front 13

Cushing's Triad manifestations are

Back 13

Manifestations are:

1. Bradycardia

2. Bradypnea

3. Hypertension.

Notes: patient will not have tachycardia.

Front 14

Superior vena cava syndrome treatment are:

Back 14

1. Radiation,

2. Chemo,

3. surgery,

4. medications

Front 15

Early signs and symptoms of superior vena cava syndrome are:

Back 15

1. Periorbital and conjunctival edema.

2. Facial swelling

3. Stokes sign which is known as tightness of shirt collar on neck.

4. visual disturbances

5. headache

Front 16

Late signs and symptoms of superior vena cava syndrome are:

Back 16

1. Altered level of Consciousness

2. Distention of veins in thorax and upper extremity,

3. Dysphagia

4. Dyspnea,

5. Cough and hoarseness,

6. Visual disturbances

7. Headache

Front 17

CSF is made where?

Back 17

Left ventricles

Front 18

Stroke victim experiencing memory loss and impaired learning capacity is due to :

Back 18

Brain damage on frontal lobe

Front 19

Mostly lethal, wide dissemination of chemical weapon radiation plus toxic chemical is

Back 19

Sarin and soman organophosphates

Front 20

Second stage of decontamination

Back 20

Take patients clothes off or hose down

Front 21

Romberg test is performed for?

Back 21

Balance and coordination

Front 22

Early signs of ICP are

Back 22

1. Altered level of Consciousness

2. Weakness

3. Headache

4. Increased respiration

5. Restlessness

6. Drowsiness

Front 23

Burn patient what do you do?

Back 23

Immediately soak in cold water

Front 24

CPP which stands for cerebral perfusion pressure normal values are

Back 24

70 - 100.

a. CPP less than 50 will lead to permanent neurological damage.

b. Also decreased CPP leads to increase SBP

Front 25

Tia (Transient ischemic attack) manifestations are:

Back 25

a. If true TIA in patient : all neurologic deficits must clear within 24 hours leaving no residual dysfunction.

b. TIA is a warning of an impending stroke.

Front 26

DI : diabetes insipidus is a disorder related to a deficiency of?

Back 26

Vasopressin : antidiuretic hormone

Front 27

SIADH is

Back 27

Due to increased secretion of the antidiuretic hormone.

Signs and symptoms are:

1. Water retention,

2. Hyponatremia (120-130)

3. Signs and symptoms of anorexia

4. Nausea and vomiting,

5. Diarrhea,

6. Weakness,

7. Lethargy

8. Headache

9. Irritability

Front 28

In SIADH if the sodium is less than 120 the signs and symptoms are:

Back 28

1. Confusion

2. Psychiatric Behavior,

3. Loss of reflexes

4. Positive Babinski sign,

5. Anasarca ,

6. dyspnea

7. Rales

Front 29

Treatment for hypothyroidism is

Back 29

Synthroid

Front 30

Most common cause of spinal cord injuries is:

Back 30

MVA: motor vehicle accident

Front 31

Seizures are most common in what age group?

Back 31

Before Age 2

Front 32

Stroke equal incidence for men and women occurs when?

Back 32

Reaching age 55

Front 33

In a bus accidents, who would you rescue first?

Back 33

Rescue first man with sucking chest wound (ABC)

Front 34

Cushing's syndrome signs and symptoms are:

Back 34

1. Truncal obesity,

2. Buffalo hump,

3. Moon face

Front 35

Most common valvuloplasty is

Back 35

Commissurotomy:

1. This is repair to commisures, site where leaflets meet.

2. Can be done open or closed.

3. It is done percutaneously where are small hole is cut into the heart and a dilator is used to open the commisures.

4. It is the standard treatment for relief of mitral stenosis.

Front 36

Multiple sclerosis most debilitating signs and symptoms is

Back 36

Fatigue

Front 37

Myasthenia gravis is

Back 37

1. Autoimmune disorder.

2. Antibodies directed at acetylcholine at the myoneural Junction impair transmission of impulses.

3. Signs and symptoms of diplopia, ptosis .

4. Diagnostic tests are tensilon test for cholinergic

Front 38

Pituitary surgery risk are:

Back 38

1. DI: diabetes insipidus

2. SIADH: syndrome of inappropriate antidiuretic hormone.

Front 39

Nitroglycerin desired effect on the patient is

Back 39

Patient states no more chest pain.

Front 40

8 QRS in 6 second is equal to

Back 40

80 beats per minute (count the R waves x 10)

Front 41

Plasma seeps out into surrounding tissue after a burn, the greatest amount of fluid leaks out within how many hours?

Back 41

24 - 36 hours

Front 42

The most common drug abused among nurses is

Back 42

Demerol (Meperidine)

Front 43

Assign Patient teaching for a newly diagnosed Diabetes Mellitus patient to

Back 43

Nurse

Front 44

Can't do admission

Back 44

Nurse Assistant

Front 45

To decrease anxiety of family members what should the nurse do?

Back 45

Update the family members

Front 46

70 years old patient with blood sugar 480.

Back 46

HHNS often occurs in older people ages 50 to 70 with no known history of Diabetes Type 2

Front 47

Ventricular dysrhythmia what is the most common drug given??

Back 47

Lidocaine or Amiodarone

Front 48

Heart failure patient what should they do as management?

Back 48

Weigh self daily at home

Front 49

Stroke patients

Back 49

Do non contrast CT to determine if it is hemorrhagic or ischemic stroke

Front 50

Diet for heart patients

Back 50

Low-sodium and low-fat restricted diet

Front 51

Patient in pacu who just had cardiac cath plus giving TPA or streptokinase what's the immediate priority?

Back 51

Check site every 15 minutes

Front 52

Stroke is the # 3 cause of death in US.

Back 52

Cardiovascular is # 1

Front 53

Patient needs further instruction after heart transplant if he States?

Back 53

Will take Coumadin x 3 weeks.

Note: Imuran is given to prevent organ rejection.

Front 54

Nursing priority for elderly is

Back 54

Assess home for hazard or encourage Independence

Front 55

Burn victim back is 18% + back arm 9% equals

Back 55

27%.

Rule of nines 1st degree not included.

Front 56

Burn victim upper torso

Back 56

1. Risk for Airway obstruction due to edema.

2. Can take as long as 48 hours to develop.

Front 57

The primary cause of stroke or aneurysm is

Back 57

Hypertension

Front 58

For increased ICP what meds do you give?

Back 58

Mannitol (osmotic diuresis)

1. Mannitol is a hypotonic crystalloid solution. 2.Only drug used for reducing ICP. 3. Patient must have Foley in. 4. Dose is based on ICP measurement. 5. Works by decreasing hematocrit levels and blood viscosity permitting cerebral arteriols to decrease in size this lowers CBV and ICP while maintaining constant CBF. 6. Not given as continuous drip.

7. It is given over 1 hour every 6 to 8 hours

Front 59

Machinery sound inside patient's room can cause?

Back 59

Sensory overload

Front 60

Glasgow Coma Scale

Back 60

Very bad is 3

The best is 15

Front 61

Eye response is 4 points

Back 61

Mnemonic: AVPU

Alert, Verbal response, Pain response, Unresponsive.

4: if opens eyes spontaneously.

3: if opens eyes when told to

2: if opens eyes to painful stimuli.

1: if no response at all.

Front 62

Verbal response is 5points

Back 62

Mnemonic: A confused salad moaned nothing.

Alert, Confused, Salad words, Moans, No response.

5: if oriented

4: if confused conversation like wrong date.

3: if replies randomly with inappropriate words.

4: if Incomprehensible such as moans and screams.

5: NO response at all

Front 63

Motor response is 6 points

Back 63

Mnemonic: Obeys, Localize pain, withdraw from pain, decorticate, decerebrate, nothing.

6: if obeys commands

5: if reaches toward painful stimuli and tries to remove it.

4: if withdraws from painful stimuli.

3: Abnormal flexion- decorticate posture when finger is pressed.

2: Abnormal extension- decerebrate posture.

1: NO response just lies flaccid- known as ominous sign.

Front 64

Which insulin is given for emergency?

Back 64

Regular insulin IV

Front 65

A secondary headache is a symptom associated with an organic cause such as

Back 65

Brain tumor or Aneurysm

Front 66

Generalized seizure tonic clonic

Back 66

There is loss of consciousness

Front 67

Cushing's syndrome is commonly caused by:

Back 67

1. Use of corticosteroids ,

2. Over secretion of glucocorticoids and androgens.

3. Signs and symptoms include:

a. Buffalo hump,

b. Truncal obesity,

c. Moon-faced

Front 68

Dopamine is a neurotransmitter

Back 68

Source of dopamine is: the substantia nigra and basal ganglia.

Dopamine usually inhibits, affects behavior such as attention, emotions and fine movement.

Front 69

Dopamine is a sympathomimetics agent.

Back 69

Dopamine is used with the Dobutamine and Nitro to improve tissue perfusion.

Front 70

Dopamine doses are

Back 70

2 to 8 microgram per kilogram per minute.

Dopamine is used to improve contractility because it has an inotropic action.

Dopamine slightly increases the heart rate using chronotropic action and may increase cardiac output.

Front 71

A dose of Dopamine greater than 8 micrograms per kilogram per minute causes:

Back 71

It causes vasoconstriction which increases afterload and cardiac workload this effect is undesirable for patients with cardiogenic shock so Dopamine must be titrated.

Front 72

What is glucagon effect?

Back 72

Glucagon effect is chiefly to raise the blood glucose by converting glycogen to glucose and deliver.

Glucagon is secreted by the pancreas in response to a decrease in the level of blood sugar.

Front 73

What is a normal dose for glucagon?

Back 73

The normal dose for glucagon is 25 - 50 ml 50% of dextrose in water (H2O)

Front 74

T-Pa calculation

Back 74

1. Dose: 0.9mg/kg with a max dose of 90mg.

2. 10% of calculated dose is administered IV bolus over 1 minute; remaining dose is administered IV over one hour via an infusion pump.

Front 75

There is dopamine calculation

Back 75

Steps are: 1 to 9

Dopamine dose is mcg/kg/min.

If for example patient's weight is 205 pounds:

Step 1. Convert pts pounds weight to kilograms by dividing 205÷2.2 = 93.18 round up 93kg.

Step 2. Divide the concentration of the drug dopamine which is 400mg÷250ml = 1.6mg

Step 3. Convert the result 1.6mg to the drug unit mcg:

1.6mg × 1000mcg ÷ 1mg = 1600mcg/ml.

Step 4. Divide result by 60min

1600mcg ÷ 60min = 26.7

Step 5. Then divide 26.7 by pts weight: 26.7 ÷ 93 kg = 0.287.

Step 6. Multiply 0.287 by 10 :

0.287 × 10 = 2.87mcg/kg/min

Note: This is the X factor=

2.87mcg/kg/min.

Step 7. Amount to be infused versus MD order: use the X factor result to form Cross sign

2.87mcg/kg/min top

10ml directly under x factor

10mcg/kg/min MD ordr (R)side

X ml directly under MD order.

Then Cross multiply.

Step 8: After cross multiplying then solve and the answer is rounded up.

Hint 75

Front 76

There is also Nitro calculation

Back 76

Remember you do not use kg for Nitro calculation.

Steps are:

Front 77

What happens with Atherosclerosis?

Back 77

It is an abnormal accumulation of lipid deposits and fibrous tissue within arterial walls and the lumen.

It's the most common cause of cardiovascular disease in US.

Front 78

What is Sarin?

Back 78

It is a Nerve agent / chemical agent.

It acts by inhibiting Cholinesterase.

Front 79

Signs and symptoms of Sarin are:

Back 79

1. Increased secretions

2. GI motility

3. Diarrhea

4. Bronchospasm

Front 80

Decontamination and treatment of Sarin are:

Back 80

1. Soap and water.

2. supportive care

3. Benzodiazepine

4. Pralidoxime

5. Atropine

Front 81

What is decerebrate??

Back 81

It is an abnormal posturing associated with severe brain injury, extension and outward rotation of upper extremities and plantar flexion of the feet

Front 82

What is akinesia?

Back 82

It is muscle rigidity.

Often begins in the legs and neck.

Muscle become very stiff.

When it affects the muscles of the face the individual adopt a mask like stare.

Front 83

Anthrax is

Back 83

Bacillus Anthracis.

Front 84

Signs and symptoms of Anthrax are

Back 84

Flu like symptoms such as:

1. Fever

2. Fatigue

3. Muscle aches

4. Dyspnea

5. Non productive cough

6. Headache

It takes one to two days improvement then rapid respiratory failure and shock.

Front 85

What is the incubation period for anthrax?

Back 85

1 to 6 days (up to 6weeks)

Front 86

How is anthrax diagnosed ?

Back 86

Anthrax is diagnosed by:

Chest xrays which shows evidence of widening mediastinum, positive BC, and sputum culture.

Front 87

How is anthrax treated ?

Back 87

It is treated with Cipro 500 mg po every 12 hours for 60 days.

Front 88

Propranolol (Inderal) is used to treat:

Back 88

Hyperthyroidism.

Propranolol is a beta blocker commonly used to treat Migraine headache.

It is also used to treat:

1. Tachycardia

2. Palpitations

3. Anxiety

4. Heat intolerance

Front 89

Low fat diet is used for:

Back 89

Hyperglycemia.

Because increased fat leads to obesity which leads to diabetes.

Front 90

What is chorea

Back 90

It is the most prominent clinical features of the disease which is abnormal involuntary movements associated with Huntington disease.

Front 91

What is Huntington disease?

Back 91

Huntington disease is chronic, progressive, hereditary disease of the nervous system that results in Progressive involuntary choreiform movement and dementia

Front 92

What is chordae tendineae

Back 92

It is a tendons connecting the valves of the heart muscles (heart strings)

Front 93

Furosemide Lasix

Back 93

1. Loop diuretics

2. Take in am

3. Eat foods high in potassium

Front 94

CN VIII (Cranial nerve 8)

Acoustic

Back 94

A deficiency in the cranial nerve 8 leads to decreased hearing, dizziness, vertigo, loss of equilibrium.

Front 95

To test cranial nerve 8 acoustic what do you do?

Back 95

Have the patient stand with feet together and maintain posture with eyes open or closed and watch to see if the patients sways or drifts excessively.

Front 96

Carbon monoxide poisoning

Back 96

Inhaled carbon monoxide binds to hemoglobin as carboxyhemoglobin which does not transport oxygen.

Front 97

Signs and symptoms of carbon monoxide poisoning are

Back 97

Central nervous system symptoms predominates.

Skin color is not a reliable sign and pulse oximeter is not valid.

Front 98

How is carbon monoxide poisoning treated

Back 98

Treatment includes:

1. Fresh air ASAP

2. CPR as needed

3. Oxygen

Front 99

Full thickness burn (third degree burn)

Back 99

Destruction of entire dermis and often underlying Sub-Q tissue occasionally muscle and bone.

Treatment is usually grafting required with debridement

Front 100

Stress

Back 100

Is a change in the environment that is perceived as having all of the above characteristics challenging, damaging, and threatening.

Front 101

Pheochromocytoma

Back 101

Tumor that usually benign of the Adrenal medulla.

1. Starts at age 40 to 50.

2. Cause of high BP in 0.1% of patients with hypertension.

Front 102

Signs and symptoms of pheochromocytoma are:

Back 102

1. Headache, diaphoresis, palpitations.

2. Tremors, flushing, anxiety.

3. BP greater than 250/150.

4. Postural hypotension

Front 103

Gillian Barre syndrome

Back 103

1. Autoimmune disorder with acute attack of peripheral nerve myelin.

2. Follows a viral infection

3. S/s are: weakness or paralysis starting with the lower extremities proceeding upward.

4. Treatment is with IVIG or Plasmapheresis.

Front 104

Hemorrhagic stroke primary cause is

Back 104

Hypertension.

Signs and symptoms are:

1. Severe headache

2. Early and sudden change in level of consciousness.

3. Vomiting

Front 105

SIADH

Back 105

Take intake and output because of 500 to 1000 ml fluid restriction

Front 106

Hypothalamus regulates what

Back 106

1. Regulates pituitary secretion of hormones that influence metabolism, reproduction, stress response and urine production.

2. Hunger, appetite.

3. Sleep wake cycle, BP, sexual behavior.

4. Emotional responses.

5. Regulates autonomic nervous system

Front 107

Harsh facial features, fingertips equals

Back 107

Acromegaly

Front 108

Tidal volume is

Back 108

Amount of air inspired or expired in a single breath during regular breathing, air delivered with each breath 700 milliliter

Front 109

Endotracheal suctioning is done to prevent what?

Back 109

It is done to prevent atelectasis

Front 110

SIADH: decreased plasma / serum osmolarity

Back 110

220

Normal is 278 to 300

Front 111

Tricuspid valve regurgitation is

Back 111

From right ventricle to the right atrium.

This is when valves don't close completely blood flow backwards through valves

Front 112

Problem with AV block is

Back 112

Bradycardia.

Electrical signals that tell the heart to contract are partially or totally blocked between the upper chambers (Atria) and the lower chambers (ventricles).

Front 113

Echocardiogram

Back 113

Type of test that uses high pitched sound waves that are sent through a device called transducer.

The device picks up Echoes of the sound waves as they bounce off the different parts of your heart.

Front 114

A full thickness burn is

Back 114

Identified by the destruction of the dermis and epidermis.

Front 115

Plasma seeps out into surrounding tissue after a burn, the greatest amount of fluid leaks out in

Back 115

24 to 36 hours

Front 116

Fluid shifts during the first week of the acute phase of a burn injury that cause massive cell destruction results in

Back 116

Hyperkalemia

Front 117

A serious gastrointestinal disturbance that frequently occurs with a major burn is

Back 117

Paralytic ileus

Front 118

176lbs 80kg man with 30% Burns should receive a minimum of how much fluid replacement in the first 8 hours?

Back 118

2400 ml

Front 119

During the acute phase of burn injury, the nurse knows to assess for signs of potassium shifting when?

Back 119

Beginning on day 4 or day 5

Front 120

The nurse knows that the topical antibacterial agent that does not penetrate eschar is?

Back 120

Silver Nitrate 0.5%

Front 121

The leading cause of death in children and adults younger than 44 years of age is?

Back 121

Trauma

Front 122

A patient has experienced blunt abdominal trauma from a motor vehicle crash the nurse assesses the patient with the knowledge that the most frequently injured solid abdominal organ is the??

Back 122

Liver

Front 123

Parkinson's disease is caused by an imbalance in the neurotransmitter known as

Back 123

Dopamine

Front 124

A person's personality and judgment are controlled by that area of the brain known as?

Back 124

Frontal Lobe

Front 125

The normal adult produces about 150 milliliters of cerebrospinal fluid daily from the?

Back 125

Ventricles

Front 126

The brain Center responsible for balance and coordination is?

Back 126

Cerebellum

Front 127

The Romberg test is used to assess?

Back 127

Balance and coordination

Front 128

A nurse assesses the patients, level of Consciousness using the Glasgow coma scale, what score indicates severe impairment of neurological function?

Back 128

3

Front 129

A beta blocker agent commonly used for the treatment of migraine headache is?

Back 129

Propranolol (Inderal)

Front 130

As a cause of death in the US, stroke currently ranks

Back 130

Third

Front 131

The nurse knows that the symptoms associated with a transient ischemic attack TIA, usually a precursor of future stroke, usually subside in?

Back 131

1 hour

Front 132

A stroke victim is experiencing memory loss and impaired learning capacity, the nurse knows that the brain damage has most likely occurred in which lobe?

Back 132

Frontal

Front 133

The initial diagnostic test for a stroke, usually performed in the emergency department is a

Back 133

Non contrast computed tomogram (CT scan)

Front 134

An emergency department nurse understands that a 110lb recent stroke victim will receive at least the minimum dose of recombinant tissue plasminogen activator (t-PA), the patient will receive a minimum dose of?

Back 134

50 mg

Front 135

The most common side effect of TPA is?

Back 135

Bleeding

Front 136

80% of hemorrhagic stroke are primarily caused by?

Back 136

Uncontrolled hypertension

Front 137

A classic diagnostic symptoms of hemorrhagic stroke is the patient complaint of?

Back 137

Severe headache

Front 138

The Glasgow coma scale is used to determine the level of consciousness, a score considered indicative of a coma is?

Back 138

3

Front 139

The primary cause 35% of spinal cord injuries is?

Back 139

Motor vehicle crashes

Front 140

Identify the bacteria not associated with the cause of septic meningitis:

Back 140

Cryptococcus Neoformans

Front 141

A positive diagnosis of myasthenia gravis can be reached using the following test:

Back 141

Anticholinesterase levels

Front 142

The initial neurologic symptoms of Guillain-Barre syndrome is?

Back 142

Paresthesia of the legs

Front 143

Tinnitus and vertigo are clinical manifestations of damage to which cranial nerve?

Back 143

8

Front 144

Incomplete closure of the tricuspid valve results in a backward flow of blood from the?

Back 144

Right ventricle to the right atrium

Front 145

The most common valvuloplasty procedure is the?

Back 145

Commissurotomy

Front 146

The drug of choice during cardiopulmonary resuscitation to suppress ventricular dysrhythmias is?

Back 146

Lidocaine

Front 147

Diabetes insipidus is a disorder related to the deficiency of?

Back 147

Vasopressin

Front 148

A positive diagnosis of Cushing syndrome is associated with:

Back 148

All of the above

Front 149

Stress is a change in the environment that is perceived as

Back 149

Having all of the above characteristics

Front 150

An individuals adaptation to stress is influenced by the stressors:

Back 150

Combined characteristics as listed above

Front 151

A nurse estimate that a patient has a serum osmolarity of . If the patient's serum sodium is 140 meq/L?

Back 151

280 mOsm/kg

Front 152

A postoperative heart transplant patient is receiving Azathioprine (Imuran), the nurse understands that this medication is used for which of the following?

Back 152

Minimizing rejection

Front 153

The nurse is assessing for the presence of genetic related cardiovascular disorders in the patient presenting to an ambulatory Clinic, which of the following is a disorder associated with a genetic abnormality

Back 153

Hypertrophic cardiomyopathy

Front 154

The nurse is caring for a patient receiving lidocaine intravenously, which factor is most relevant to administration of this medication?

Back 154

Presence of premature ventricular contractions (PVCs) on cardiac monitor

Front 155

To check your answer for dosage calculations

Back 155

Establish the X factor first.

Then in calculator:

If what the doctor ordered is 40 divide it by the X factor times 10: for example

40 ÷ 6.7 ×10 = 59.7 add the unit