CT 6

Question 1

____ and ____, because of their role in muscle contraction and relaxation, may be important for people with COPD

Answer 1

Magnesium and calcium

Question 2

COPD: Provide an adequate fluid intake (minimum __ L/day) unless contraindicated

Answer 2

3

Question 3

If the chest tube becomes disconnected do not

Answer 3

clamp

Question 4

If the chest tube comes out of the patient you have to cover the site and tape on only 3 sides because

Answer 4

that prevents a tension pneumothorax

Question 5

In the water seal chamber you should see

Answer 5

tidaling

Question 6

Digoxin for angina?

Answer 6

No. Digoxin will Increase the force of the heart which you don’t want since the heart is already over worked

Question 7

Why is nitro good for angina

Answer 7

vasodilates, which allows more oxygen to get to the heart muscle

Question 8

Atropine for angina?

Answer 8

No

Question 9

Propanolol for angina?

Answer 9

Not for an acute attack

It’s good for long term prevention

Question 10

one of the differences between angina and MI is that MI has a sudden

Answer 10

onset of pain

Question 11

MI is not relieved by

Answer 11

rest or nitro

Question 12

Silent MI

Answer 12

it’s when there’s no pain; this might happen it someone with DM

Question 13

MI pulse

Answer 13

rapid, weak, thready

Question 14

MI LOC

Answer 14

decreased

Question 15

CK MB

Answer 15

specific to myocardial cells and can help quantify myocardial damage.

Question 16

Troponin

Answer 16

more specific to MI than is CK MB

Question 17

MI pulse pressure

Answer 17

narrows. ie 90/80

Question 18

MI: wet lung sounds indicates

Answer 18

heart failure

Question 19

ECG changes occur as early a ____ after an MI

Answer 19

2 hours

Question 20

MI: morphine is for

Answer 20

pain and to increase O2 perfusion

Question 21

3 blood pressure meds for MI

Answer 21

nitro
Beta blocker
ACE inhibitor

Question 22

MI: how much O2 are you giving

Answer 22

2 to 6 L via NC

Question 23

MI: rales indicates

Answer 23

Pulmonary edema

Question 24

how should you position an MI patient

Answer 24

semi-fowler

Question 25

MI: when do the thrombolytics need to be given

Answer 25

within 1 to 4 hours

Question 26

therapeutic PTT and aPTT values

Answer 26

1.5 to 2.5 times the normal time

Question 27

therapeutic INR value

Answer 27

2:3

Question 28

diverticulitis: where would the pain likely be

Answer 28

left lower quad (sigmoid colon)

Question 29

what kind of bowel habit might you have with diverticular obstruction

Answer 29

switching between constipated and diarrhea

Question 30

what kind of appetite would you have with diverticulitis

Answer 30

decreased

Question 31

2 tests for diverticular diseases

Answer 31

``` Colonoscopy Barium enema (except its not used in the acute phase) ```

Question 32

an example of a good bulk-forming laxative for diverticular patient

Answer 32

metamucil

Question 33

rapid acting onset

Answer 33

less than 30 min

Question 34

rapid acting peak

Answer 34

1 or 2 hours

Question 35

short acting onset

Answer 35

30 to 60 min

Question 36

short acting peak

Answer 36

2 or 3 hours

Question 37

intermediate onset

Answer 37

1 or 2 hours

Question 38

intermediate peak

Answer 38

6 to 12 hours

Question 39

Hypergly: encourage ___ intake

Answer 39

water

Question 40

In which state do you check for ketoacidosis

Answer 40

Hypergly

Question 41

hypogly is B.S. less than

Answer 41

70