NUR 425 EXAM 2 NEWEST ACTUAL

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NUR 425 EXAM 2 NEWEST / ACTUAL

EXAM QUESTIONS WITH CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) GRADED A+

What are indications for Midazolam (Versed)?Side effects?Nursing considerations when administering? - ANSWER - -Benzodiazepine of choice in the ICU, when the patient is jeopardizing their safety like pulling out lines, and to cause amnesia when appropriate ex. in a trauma -Drug accumulation in spine, can sedate even after discontinuation, tolerance and withdrawal, respiratory depression and anterograde amnesia -Monitor respiratory status, RASS scale, watch for withdrawal

What are indications for Amiodarone?Side effects?Nursing considerations when administering? - ANSWER - -Supraventricular Tachycardia, atrial fibrillation, atrial flutter, sinus tachycardia, ventricular tachycardia with a pulse (Slows down heart) -Dysrhythmias, hypotension, bradycardia -Monitor EKG during administration, monitor hemodynamic values and vital signs, monitor for therapeutic effect

What are indications for Atropine?Side effects? 1 / 4

pg. 2 Nursing considerations when administering? - ANSWER - -Slow rhythms such as sinus bradycardia, junctional rhythm, pulseless electrical activity, asystole, code blue -Fast heart rhythm -Monitor EKG, monitor rate, rhythm, character, and BP continuously

What are indications for beta-blockers (Ex. Metoprolol)?Side effects?Nursing considerations when administering? - ANSWER - -Hypertension, atrial fibrillation, atrial flutter, AMIs -Hypotension, tachycardia -Monitor BP and HR prior to and after administration, monitor for therapeutic effect

Hemodynamics:

Lowers all hemodynamic parameters

What are indications for 3% NaCl?Side effects?Nursing considerations when administering? - ANSWER - -High ICP, hyponatremia -Hypernatremia, seizures -GIVE SLOWLY! Monitor fluid status and electrolyte levels

What are indications for 0.45% NaCl (1/2NS)? - ANSWER - -Diabetes Insipidus 2 / 4

pg. 3 What are indications for 5% Dextrose in sterile water (D5W)?Side effects?Nursing considerations when administering? - ANSWER - -Diabetes insipidus, insulin drips -Hyperglycemia -Monitor blood glucose

What are indications for Heparin?Side effects?Nursing considerations when administering? - ANSWER - -Blood clots, DVT, PICC line (Heparin lock), DIC, AMI -Bleeding, heparin induced thrombocytopenia -TWO NURSE CHECK! Monitor for signs of bleeding and aPTT/PTT values.

What are indications for Warfarin (Coumadin)?Side effects?Nursing considerations when administering? - ANSWER - -Atrial fibrillation, risk of stroke, blood clots, venous thrombi, pulmonary embolism, MI -Bleeding -Monitor for signs of bleeding and monitor INR value (Should be 2-3)

What are indications for RBCs?Side effects?Nursing considerations when administering? - ANSWER - -Anemia not treatable with medication or nutrition, HG <6 or HG <10 with symptoms 3 / 4

pg. 4 -Blood transfusion reaction -Monitor for signs of reaction, such as chills, fever by at least 1 degree Fahrenheit, N/V, anxiety, dyspnea, etc. Monitor relevant lab values.

What are indications for Fresh Frozen Plasma? (FFPs) Side effects?Nursing considerations when administering? - ANSWER - -Disseminated Intravascular Coagulation, when clotting factors are needed, provides a source of anti-thrombin -Blood transfusion reaction -Monitor for signs of reaction, such as chills, fever by at least 1 degree Fahrenheit, N/V, anxiety, dyspnea, etc. Monitor relevant lab values.

List manifestations of tetralogy of Fallot. - ANSWER - -Murmurs -Cyanosis -Hyper cyanotic spells (TET spells) -Clubbing from hypoxemia -Polycythemia -Anemia (Body can't produce anymore RBCs) -Blue lips

When do TET spells happen? - ANSWER - They occur in response to a stressor, such as a bowel movement, starting an IV, waking up in the morning, etc.

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