RC 279

What does the T wave represent on a 6-second EKG strip? (Recall)a. Ventricular repolarizationb. Atrial depolarizationc. Atrial repolarizationd. Ventricular repolarization

A 50 kg patient who is on A/C mode is at a rate of 12, Fi02 of .50, PEEP of 5 got an ABG sample drawn: pH – 7.55 CO2 - 30PaO2 -90HCO-3 – 23BE - -2.What is your next step based off of this information? (Application)a. Decrease the FiO2b. Decrease the ratec. Add PEEPd. Increase the rate

A 40-week neonate was just born via cesarean section. He was blue on hands and feet. Grimaced when suctioned. Well flexed. Heart rate is 110 and with a strong cry. What is this babies APGAR score? (Analysis)a. 4b. 9c. 6d. 8

Based on the question above, what would you do next? (Analysis)a. Start compressionsb. Start bag-valve-mask ventilationc. Dry baby and take to the warmerd. Provide stimulation by flicking the soles of the babies feet

Why is IS usually always given to post-op patients? (Application)a. To prevent atelectasis b. To help them to breathec. O2 therapyd. Remove secretions

You assist with a 39 week AGA infant who is having trouble oxygenating. She is breathing but is cyanotic at the core even with a BVM ventilation at 1.0 FiO2.You are presented with a chest x-ray of the neonate. Based off of this chest x-ray what would you recommend? (Application)a. Stop BVM ventilationb. Start compressionsc. Recommend surgery d. Return back to mom

You come to assist in a code blue in the ICU. CPR is in progress and they have just intubated the patient with a 7.5 Endotracheal tube, 22 at the teeth. The patient is hooked up to capnography waveform. You look at the screen and see this:What does the diagram indicate? (Analysis)a. Compressions got betterb. Return of ROSC c. Compressions got worsed. The connection is malfunctioning

You check on your patient in ICU. Upon auscultation, you hear crackles in the right lobe and she is tachypneic. You review the patient's chest x-ray that was done an hour ago. While reviewing, you notice that it has a large area of consolidation in the right lung. What does this indicate? (Analysis)a. Pleural effusionb. Tumorc. TBd. Right-sided pneumonia

Which of the following would you check for during inspiration to check for a normal diaphragm activity? (Recall)a. Intercostal retractionb. Inward motion of the abdomenc. Outward movement of the abdomend. No movement at all

A 25-year old female with bronchiectasis wants to continue her pulmonary hygiene program that she can easily do so that he can go back to school. What would you suggest for her? (Analysis) a. Flutter mucus clearance device b. Mucomystc. IPPB with bronchodilatord. Bronchodilator

You overhear a doctor telling the nurse to keep a close eye on a patient’s potassium levels. What type of medication is most likely the patient receiving to make the doctor give that order? (Analysis)a. Bronchodilatorb. Corticosteroidsc. Sedativesd. Diuretics

You measure a patient’s MIP who is on a ventilator and obtained a value -26 cmH2O. Based on this information, what would you recommend? (Application)a. Maintain current settingsb. Start the weaning processc. Decrease the RRd. Increase the FiO2

Breathing at a rate and depth in excess of the body's metabolic need is known as: (Recall)a. Hyperventilationb. Hyperpneac. Platypnead. Psychogenic dyspnea

Gastroesophageal Reflux is caused by: (Recall)a. High activity levels in gastric musclesb. Blockage of the duodenumc. Abnormal opening of the pyloric sphincterd. Abnormal opening of the cardiac (lower esophageal) sphincter

What is unique regarding the blood supply of the lung? (Recall)a. It carries oxygenated blood through the pulmonary artery and deoxygenated blood through the pulmonary veinb. Pulmonary venous drainage contributes to the normal anatomic shuntc. It carries oxygenated blood through the pulmonary vein and deoxygenated blood through the pulmonary arteryd. The pulmonary vessels carry out only deoxygenated blood