2/20/23 MED SURG III EXAM #2

The nurse is planning the care of a patient with a TBI in the neurosurgical ICU. In developing the plan of care, what interventions should be a priority? (Select all that apply.)

Dantrolene sodium has been administered to a client with a spinal cord injury. The nurse determines that the client is experiencing an adverse effect of the medication if which is noted?

The nurse is caring for a client with increased intracranial pressure as a result of a head injury. The nurse would note which trend in vital signs if the intracranial pressure is rising?

The nurse is assigned to care for clients with SCI on a rehabilitation unit. Which signs does the nurse recognize as clinical manifestations of autonomic dysreflexia? Select all that apply.

Impulse starts in AV node before next sinus impulse

Abnormal or Absent P Wave

Rhythm is 40-60

Monitor

TREAT: If symptomatic = BBs, CCBs Antiarrhythmics (amiodarone)

The client with a head injury is experiencing signs of increased intracranial pressure (ICP), and mannitol is prescribed. The nurse administering this medication expects which as intended effects of this medication? Select all that apply.

The primary health care provider is planning to administer a skeletal muscle relaxant to a client with a spinal cord injury. The medication will be administered intrathecally. Which medication would the nurse expect to be prescribed and administered by this route?

The nurse is assigned to care for clients with SCI on a rehabilitation unit. Which signs does the nurse recognize as clinical manifestations of autonomic dysreflexia? Select all that apply.

The nurse cares for a client following the insertion of a permanent pacemaker. What discharge instruction(s) should the nurse review with the client? Select all that apply.

What is the primary difference in management between ventricular tachycardia (VTach) and pulseless electrical activity (PEA)?

I increase the effects of propranolol. I am often used in supraventricular tachycardia, Atrial Fibrillation or Atrial Flutter. I decrease the AV node & SA node Automaticity

My first dose, and any increased dosages should be taken at bedtime to prevent dizziness, and possible fainting

Food reduces my absorption. Side effects include headache, drowsiness, fatigue, dizziness, edema of the hands, ankles, and feet, flushing, palpitations, nausea & abdominal pain

I should be taken 1 hour before or 2 hours after meals. I can cause neutropenia, agranulocytosis, proteinuria, glomerulonephritis, angioedema, and an annoying cough. I have a BLACK BOX WARNING to not be taken in pregnancy due to the risk of injury or death to the fetus 

LFTs, Serum Electrolytes (K+) must be monitored with my use. My side effects are dizziness, muscle cramps, diarrhea, decreased sensitivity to touch, and angioedema. I have a BLACK BOX WARNING that I should not be used in pregnancy due to the risk of fetus injury or death. I have many interactions with food/herbs such as Alfalfa, California poppy, celery, garlic, ginger, hawthorn, marshmallow, mistletoe, quinine, shepherd's purse, St. John's Wort. Ginseng, Grapefruit Juice, Kola, Licorice. 

I am the drug of choice in symptomatic bradycardia, and patients should be on tele when administering me. Patients should be instructed to avoid high temps, drink water frequently, visit eye doctors regularly, and notify the provider if fluid intake is greater than output, or if they get a fever. 

Which medication is a sodium channel blocker, typically used to treat V. Fib and V Tach

Which medication is used to treat Atrial Fibrillation & Atrial Flutter?

Which medication is a potassium channel blocker, typically used to treat ventricular tachycardia & ventricular fibrillation

Which medication is a calcium channel blocker typically used to treat atrial fibrillation & atrial flutter?

What is the priority adverse effect of amlodipine

Diazepam crosses the placenta and is excreted in breast milk

What should the nurse examine on an EKG strip to determine the ventricular rate?

Which medication below is used to treat digitalis dysrhythmias?

What is the treatment of choice for Atrial Fibrillation

Which medications below have a BLACK BOX WARNING that they should not be used in pregnancy as they can cause injury or death to the fetus? Select all that apply

What is the black box warning for Baclofen?

Which medication causes bradycardia in low doses, and tachycardia in high doses?

Normal Junctional Rhythm (AV NODE)

A patient recently had a pacemaker put in. The nurse notices the patient is hiccuping, and has diaphragmatic breathing. The nurse knows this may indicate...