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Nurs 547 Adult Health Nursing II: Cardiovascular Disorders (University Of Maryland) Proctored Exam

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Total Questions : 48

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Question 1:

The nurse is rounding on a patient diagnosed with heart failure (HF). The patient is receiving 1 liter of 0.9% sodium chloride at 150 ml/hr with two hours left on the infusion. The nurse observes that the patient has a moist cough, distended neck veins, and dyspnea. What actions should the nurse take? Select all that apply by choosing the three highest priority nursing actions for this patient.

Answer and Explanation

A
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Question 2:

The nurse is caring for a patient with a chest tube that is connected to a water seal drainage system. The nurse observes the chest tube is disconnected from the chest tube drainage system. Which of the following actions should the nurse take first?

Answer and Explanation

A
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Question 3:

The nurse is preparing medications for a patient who is being intubated. The provider orders succinylcholine 60 mg IV and etomidate 15 mg IV. Using the images of the vials below (also in attachments), calculate the amount of succinylcholine that you will draw into the syringe in milliliters and write it in the first blank here

. Next, calculate the amount of etomidate that you will draw into the syringe in milliliters and write it in the second blank here . Last, in the third blank, write the name of the medication that you will give first here.

Answer and Explanation

Explanation

  • Calculate the volume of succinylcholine to draw up

Ordered Dose: 60 mg

Available Concentration: 20 mg/mL

Volume = Ordered Dose ÷ Concentration

Volume = 60 ÷ 20

= 3 mL

  • Calculate the volume of etomidate to draw up

Ordered Dose: 15 mg

Available Concentration: 2 mg/mL

Volume = Ordered Dose ÷ Concentration

Volume = 15 ÷ 2

= 7.5 mL

  • Determine which medication is given first

Etomidate is given first as an induction agent, followed by succinylcholine for paralysis during intubation.


A
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Question 4:

When entering the room of a patient who has a chest tube attached to a water-seal drainage system, the nurse observes the chest tube is lying on the floor. Which of the following actions should the nurse take first?

Answer and Explanation

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Question 5:

The nurse is caring for a patient on mechanical ventilation. Which of the following must the nurse implement to prevent ventilator-associated pneumonia (VAP)? Drag and Drop Directions: Click and drag the correct answer choices from the Possible Answers box on the left to the Correct Answers box on the right. More than one answer may be chosen.

Answer and Explanation

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Question 6:

A patient has returned to the cardiac step-down unit following a percutaneous intervention (PCI). The nurse observes that the patient has bleeding at the right-sided femoral sheath site. What is the nurses' first action?

Answer and Explanation

A
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Question 7:

An ICU nurse is at the nurse's station when they suddenly hear their patient's ventilator alarming. Which actions should the nurse take when responding to ventilator alarms? Select all that apply.

Answer and Explanation

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Question 8:

A patient is hospitalized with a second episode of pulmonary embolism (PE) despite anticoagulation therapy. What is the nurse's best action?

Answer and Explanation

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Question 9:

A nurse provides care to a client with COPD, what symptoms does the nurse anticipate? Directions for drag and drop: Click and drag the possible answers from the left box to the right to indicate your answers.

Answer and Explanation

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Question 10:

A nurse is planning care for a patient with a flail chest. Which of the following interventions are appropriate for this patient? Select all that apply. Directions for Drag and Drop: Click and drag the correct possible answers from the left box to the right to indicate your answer.

Answer and Explanation

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