Does anybody know the answers to these questions. I am stumped. I tried looking everywhere
What physical finding does an infant of a diabetic mother and an infant with fetal alcohol syndrome have in common?
A. Susternal retractions, B. Neonatal acrocyanosis, C Hypoglycerma or D. Respiration 20/30 min.
A year after a renal transplant, the clients serum sodium level is 160 mEq/L. What is the most likely cause for this client high sodium level.
A. corticosteroid therarpy, B rejection of the kidney, C Heart failure, D excessive oral ingestion of sodium
Which is less frequently used because of neative side effects
A. Procainamide B. Lidocaine, C. Amiodarone
After craniotomy, how high show the head of the pt bed be?
30-45 deg??
A patient is having a cute anterior MI with third-degree heart block with a ventricular rhythm and rate of 38 bpm. What is the immediate nursing intervention.
A. Atropin 1mgIV, Diltiazem 15mgIV, Digoxin 0.5mg IV, Lidocain 50mgIV
Neuro ICU preceptorship - we did 20-30 degrees for HOB, never 45. Definitely hypoglycemia and corticosteroids. I was almost sure of atropine, as confirmed by the paramedic. I wasn't sure about the med w/negative SEs - I thought lidocaine, since it's been replaced by amiodarone as first line for V Tach, but I don't know much about procainamide - maybe it has worse SE than lidocaine. Were these on your NCLEX? I thought we weren't supposed to post questions from boards here, maybe it's just verbatim that's not allowed. If you got these, you probably did well - they don't seem "easy" even though I think I knew a few of them.
you will want to elevate the HOB of up to 30 degrees to decrease the chance of getting ICP. You would also want the client to deep breath to prevent fluid build up in the lungs. As far as the reason why the client should prevent coughing or carefully cough (splint the cough with a pillow) is to prevent straining on the blood vessels going to the head. i hope this helps and please correct me if i'm wrong.
On the side effects question, all three of the drugs mentioned are known for somewhat significant side effects. However, two of them are still a standard part of ACLS/PALS protocols and the other one, while mentioned in those courses, is definitely not first-line. That's the one I would pick.
warmc1
92 Posts
U WOULD WANT TO ACCELLERATE THE HEART, THE HEART BEAT IS 38. I WOULD USE THIS TO UP THE HEART AND THEN LIDOCAINE, RIGHT?