Exam 3 Clicker Q's {FA2018}

Question 1

Hypertension is a common finding in shock T/F?

Answer 1

False

Question 2

Narrowing pulse pressure is an indicator of

Answer 2

Hypovolemic shock,
cardiogenic shock,
sustained drop in mean arterial pressure

Question 3

An early sign of shock would include

Answer 3

Changes in level of consciousness

Question 4

A client in hypovolemic shock is prescribed an infusion of lactated ringer’s. What is the purpose of infusing this solution in shock?

Answer 4

The solution will help to replace fluid and promote urine output

the solution will help to maintain vascular volume

Question 5

Well planning care for a patient receiving plasma proteins fraction the nurse will include frequent assessments of which of the following possible adverse reactions?

Answer 5

Anaphylactic reaction

Question 6

Nursing assessment of a patient receiving normal serum albumin of treatment for shock will include which of the following assessments?

Answer 6

Breath sounds

Question 7

A patient is receiving Plasma-Lyte for treatment of hypovolemic shock. When monitoring for therapeutic effects, which of the following will the nurse expect to occur?

Answer 7

Blood pressure returns to WNL and urine output increases

Question 8

The patient who is experiencing shock is started on norepinephrine by IV drip. Why must the nurse conduct frequent inspections of the IV site or the patient remains on this drug?

Answer 8

Leakage at IV site may cause local tissue damage

Question 9

The nurse evaluate the effectiveness of dopamine therapy for a patient in shock. Which of the following may indicate treatment is successful

Answer 9

Improved urine output increased blood pressure

Question 10

The client has received an IV dose of adenosine, and almost immediately at the heart monitor shows asystole. What should the nurse do next?

Answer 10

Continue to monitor the patient. The half-life of adenosine is only 10 seconds

Question 11

Find a clients telemetry strip to be in asystole. What interventions should you implement?

Answer 11

Check leads and listen for an apical pulse
CPR
epinephrine
atropine

Question 12

Patient is in the ED with an unspecified supraventricular dysrhythmias. The physician orders a dose of diltiazem IV push. When the nurse administers the medication through the IV lock, the patient states he feel something wet spilling on her arm her heart rate Is unchanged. What will the nurse do next?

Answer 12

Check the IV lock to see if it is properly functioning

Question 13

Patient is receiving oral quinidine. Which assessment findings is most concerning?

Answer 13

Prolonged QT interval

Question 14

A patient has been prescribed lidocaine. What does the nurse understand is the reason for this medication order?

Answer 14

Ventricular arrhythmias

Question 15

The nurse is reviewing emergency protocols in is in ministering adenosine. What is the vitally important task to remember when administering adenosine?

Answer 15

Give it as a rapid IV push

Question 16

Before administering a dose of an anti-dysrhythmic drug to an assigned patient, which assessments would be of the highest priority?

Answer 16

Apical pulse and blood pressure

Question 17

Which class of drugs used to treat both hypertension and dysrhythmias?

Answer 17

Calcium channel blocker’s

Question 18

Calcium channel blocker’s have which pharmacodynamic affect?

Answer 18

Coronary vasodilation

Question 19

The most severe adverse affects of amiodarone are evidenced in which body systems?

Answer 19

Pulmonary

pneumonia like syndrome

Question 20

For which potential adverse affects would the nurse to monitor patients prescribed amiodarone?

Answer 20

Bluish skin discoloration, hypothyroidism, photosensitivity

Question 21

A patient is in the ICU because of an acute MI. He is experiencing severe ventricular dysrhythmias. The nurse will prepare to give which drug of choice for this dysrhythmia?

Answer 21

Amiodarone

Question 22

It’s 62-year-old client is to receive lidocaine as treatment for Symptomatic dysrhythmia. Upon assessment the nurse notes he has a history of alcoholism and has late stage liver failure. The nurse will expect which adjustments in his drug therapy?

Answer 22

Dosage will be reduced by 50%

Question 23

When starting a patient on antidysrhythmic therapy, the nurse will remember that which problem is a potential adverse effect of an anti-dysrhythmic drug?

Answer 23

Dysrhythmias

Question 24

The patient is in the ED with new onset of rapid rate atrial fibrillation, the nurse is preparing a continuous infusion. Which drug is most appropriate for this dysthymia?

Answer 24

Diltiazem

Question 25

Which patient teaching instructions are appropriate for a patient taking an anti-dysrhythmic drug?

Answer 25

Do not crush ER forms of medication

take the medication with food if G.I. distress occurs

limit or avoid use of caffeine

Question 26

The nurse is monitoring for adverse effects in a patient who is receiving amiodarone infusion. Which are adverse effect for amiodarone?

Answer 26

Constipation

QT prolongation

hypotension

blue gray color of skin on face, arms, and neck