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Prophecy General ICU RN Part 2

Nursing30 CardsCreated 5 months ago

This flashcard deck covers key concepts and questions related to ICU nursing, including renal failure, shock types, medication management, and more.

Identify the type of renal failure that results from bilateral obstruction of urine outflow

Post-renal failure
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Key Terms

Term
Definition
Identify the type of renal failure that results from bilateral obstruction of urine outflow
Post-renal failure
A patient exhibits hypotension without an increase in HR is indicative of
Neurogenic Shock
Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and coumadin. Which medication would you hold for a blood pressure of 80/50?
Lasix
A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin, confusion, and agitation, BP 80/40, HR 145. What type of shock is this?
Hypovolemic
The patient is admitted with suspected Guillain-Barre syndrome. The nurse would expect CSF analysis to reveal which of the following to confirm the diagnosis?
CSF protein of 60 mg/dL and WBC 0 cells/mm3
Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the following should the nurse observe for during the assessment?
Hypotension

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TermDefinition
Identify the type of renal failure that results from bilateral obstruction of urine outflow
Post-renal failure
A patient exhibits hypotension without an increase in HR is indicative of
Neurogenic Shock
Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and coumadin. Which medication would you hold for a blood pressure of 80/50?
Lasix
A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin, confusion, and agitation, BP 80/40, HR 145. What type of shock is this?
Hypovolemic
The patient is admitted with suspected Guillain-Barre syndrome. The nurse would expect CSF analysis to reveal which of the following to confirm the diagnosis?
CSF protein of 60 mg/dL and WBC 0 cells/mm3
Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the following should the nurse observe for during the assessment?
Hypotension
CVP measures the pressure in the
right atrium
Which lab value is used to determine the severity of sepsis
lactic acid
Which of the following hormones is secreted by the thyroid gland?
calcitonin
An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which diagnosis?
Adrenal crisis
The most common cause for the patient to file a nursing negligence claim is
Ineffective communication
Which medication is a paralytic
Vecuronium
90% of thrombi develop in which area of the body?
Legs
Which of the following medications is usually the first to be administered during status epilepticus
Ativan
Pt's BP on admission was 110/40, and Hgb was 10.5. The BP is now 80/50 and pt is vomiting coffee ground emesisi. You expect Hgb to be:
8
You note the appearance of a U wave on the ECG tracing of your patient, This would indicate that the nurse check laboratory values for the presence of
Hypokalemia
Must be performed prior to A-line insertion
Allen test
Diet best for patient with renal failure?
low sodium, low potassium, and moderate protein
You're caring for a 49 yo head trauma pt with an ICP line. What is the formula for calculating the CPP?
MAP - ICP
Pt presents with fever, chills, cough, SOB and chest pain. Which diagnosis would you anticipate?
Pneumonia
CVP normal range
2-8 mmHg
Pt presents with stiff neck, headache and fever for the last 24 hr. What condition would you suspect?
Bacterial meningitis
Hypotensive crisis, which med would you anticipate giving?
Levophed
Hypotonic solution
0.45% NS
What pathological condition might you suspect in a patient with a serum sodium of 165 and serum osmolality of 330?
Diabetes Insipidus
Med commonly used to decrease ICP
Mannitol
ABG 7.35, paCO2 60mmHg, HCO3 38 mEq
Compensated respiratory acidosis
Contraindicated for Lorazepam
Pt with acute angle-closure glaucoma
Common complications of massive transfusions are
Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L
Metabolic Acidosis