By Elsevier Health Sciences
The new sixth version of middle assessment for severe Care Nursing is helping readers examine and construct their wisdom of serious care nursing as they organize for the certification examination. The ebook comprises 3 200-question pattern examinations that supply wide perform and assessment key content material. An in-depth intent, entire with references, is incorporated for every query. Written less than the authority of the yankee organization for Critical-Care Nurses (AACN), this publication is a perfect research instrument to facilitate guidance for severe care nursing certification. This identify contains extra electronic media while bought in print structure. For this electronic booklet version, media content material isn't really included.
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Extra resources for AACN Certification and Core Review for High Acuity and Critical Care
BP is 210/128 mm Hg, pulse is 120 beats/min, RR is 36/min. The chest x-ray shows evidence of pulmonary edema. Prior to transfer to the ICU, 40 mg of furosemide (Lasix) is administered to the patient. Which of the following medications would be used to reduce blood pressure and prevent potential harm to the fetus? A. Sodium nitroprusside (Nipride) titrated to achieve a systolic BP of 150 mm Hg B. Nitroglycerin titrated to achieve a systolic BP of 150 mm Hg C. Captopril (Capoten) 100 mg PO D. Phentolamine (Regitine) 5 mg IV 1-30.
Administration of a 250 mL bolus of normal saline B. Administration of one unit of packed cells C. Initiation of a dopamine infusion at 10 mcg/kg/min D. Vasopressin 40 units IV push 1-94. On postoperative day 3 a patient (status: post roux-en-y gastric bypass) is admitted to the ICU with a diagnosis of sepsis secondary to gastric perforation. On postoperative day 5, the patient’s weight increases by 10 kg, urine output is less than 325 mL/day for the last 3 days, and there are crackles bilaterally on lung auscultation.
Acute MI C. Thiocyanate toxicity D. Encephalopathy 1-67. The patient in septic shock may present with a variety of clinical manifestations that may change dramatically as the condition progresses. Which physiologic symptoms best describe the clinical manifestations associated with septic shock? A. ↑ temperature and ↑ urine output B. ↓ systemic vascular resistance (SVR) and ↓ cardiac output (CO) C. ↑ mixed venous oxygen saturation (SVO2) and ↑ heart rate (HR) D. ↑ right atrial pressure (RAP) and ↑ respiratory rate (RR) 1-68.