PassCCRNtestbank Whichofthefollowingwouldbetheearliestauscultatoryfindinginleftventricularfailure
(LVF)?
A.Crackles B.S3 C.Murmurofmitralregurgitation D.Pericardialfrictionrub-ANSB.S3 LVFwouldbethemostsubtlebecauseearlychangesareusuallysubtlechanges.Choose"S3." Apatientwithatriple-lumensubclaviancatheterhasbeenreceivingtotalparenteral nutrition,maintenancefluids,andantibioticsbythecatheter.Hehasbeenslightly confused.Suddenlyhegraspsthecatheterandpullsitout.Hethencomplainsof shortnessofbreath,andhispulseoximetryindicatesanSpO2of84%.Howshouldthis patientbepositioned?A.Headdown,leftside B.Headdown,rightside 1 / 4
C.Headofbedelevated,leftside D.Headofbedelevated,rightside-ANSA.Headdown,leftside
Envisionabigairbubbleinthepatient'sheart.Think:whatpositionwoulddecreasethe
movementoftheairembolismoutoftherightsideoftheheart.Chose"Headdown,left side." Oxygendelivery(DO2)istheproductofwhichofthefollowing?A.PaO2,hemoglobin,meanarterialpressure B.SaO2,hemoglobin,cardiacoutput C.SvO2,cardiacindex,SaO2 D.PaO2,meanarterialpressure,SvO2-ANSB.SaO2,hemoglobin,cardiacoutput Oxygenisdeliveredfromthearterialend,sochooseanoptionthathasSaO2 Whichofthefollowingisthemostsignificantcomplicationofstatusasthmaticus? 2 / 4
A.Pulmonaryembolism B.Acuterespiratoryfailure C.Hypertension D.Anaphylaxis-ANSB.Acuterespiratoryfailure A22-year-oldmanisadmittedtothecriticalcareunitafteramotorvehiclecollision.The emergencydepartmentnursereportsthathewasunconsciousatthesceneofthe accident,butheisnowalertandoriented.Skullfilmsshowalinearfractureoftheright
temporalbone.Heisatsignificantriskfor:
A.scalphematoma.B.subduralhematoma.C.epiduralhematoma.D.intracerebralhematoma.-ANSC.epiduralhematoma. 3 / 4
Linearfracturesofthetemporalbonefrequentlydisruptthemiddlemeningealarteryand causeepiduralhematoma.Patientswithanepiduralhematomaclassicallypresentwith ashortperiodofunconsciousnessfollowedbyalucidintervalandthenrapid deterioration.Anepiduralhematomaisusuallycausedbyarterialbleeding.ApatientisadmittedtotheICUaftersustainingaconcussionandbluntabdominal traumatotherightupperquadrantinadomesticdispute.Thepatient'svitalsignsare BP145/86mmHg,pulse86beats/min,respiration15breaths/min,andtemperature 98.8°F.Thenurseismonitoringthepatient'sbowelsounds,abdominaltenderness,and abdominalgirthfrequently.Whichofthefollowinglaboratoryparametersisespecially importantforthenursetocloselymonitorforbleedinginthispatient?A.Plateletcount B.Protime C.Hematocrit D.Meancorpuscularvolume-ANSC.Hematocrit Commoninjuriesresultingfrombluntabdominaltraumacanincludeinjurytotheliver, spleen,mesentericvessels,pancreas,orkidneys.Inanonoperativeapproachtoblunt
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