Blog

You are trying to determine the difference between merely “symptomatic” and definitely “unstable” in a patient who has become dysrhythmic. Which of the following assessment findings would the RN usually consider “unstable” criteria?   Select all that apply

Time to sight read! Name the rhythm and choose the best treatment to fit.  Select all that apply.    New onset of this rhythm.        

A nurse is assessing an electrocardiogram rhythm strip.  The P waves and QRS complexes are regular.  The PR interval is 0.28 second, and QRS complexes measure 0.06 second.  The QT Interval is 0.52 second. The overall heart rate is 62 beats per minute.   The nurse is aware that this patient is likely to need:

A female patient presents to the ED complaining of a rapid heart beat.  The patient’s ECG shows the following rhythm at a rate of 204-210 that does not vary with patient movement (in other words, it does not matter if she sits up or lies down): The patient is dizzy and confused and has a blood pressure of 82/ 55.  Which of the following treatments should the nurse anticipate being ordered immediately?

The nurse is administering nitroglycerin (Tridil) intravenously to relieve chest pain.  What is the therapeutic action of this medication?

The H in THROMBINS2 stands for Heparin. Specifically Unfractionated Heparin (UFH). Heparin is commonly used for acute MI patients because: 

A patient has been driven to the ED by his wife with symptoms of nausea, vomiting, shortness of breath, anxiety, and diaphoresis.  He said it started about 6 hours ago and he tried taking Maalox and resting, but the symptoms have worsened.  The 12 EKG is diagnostic for an inferior wall MI.  What can explain this patient’s symptoms and behavior?

You are caring for a patient on the cardiovascular unit (CVU) who has been admitted with unstable angina and will be undergoing a diagnostic angiogram in a few hours.  He calls the nurse complaining of chest pain and shortness of breath.  You respond immediately, get a set of vital signs and call for a STAT 12 lead EKG.  The EKG shows ST depressions with T wave inversions in leads V2-V4.  What is your impression based on the current information?

For each type of sedative medication used in critical care patients listed on the left, match to the best description on the right. There are no distractors: each medication will match to exactly one descriptor. 

The antiviral Remdesivir may be prescribed for hospitalized COVID patients depending on:    Select the TWO best answers, N = 2