Urgent Request: Questions on ER/ICC can yu answer

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Hi the other day I posted this cause in a panic after reading my material for a test I was going to take that morning I noticed I missed doing practice questions. So I answered them the best I could and posted hoping someone knew the answers to make sure I understood the material before my test. Although no one answered them I went to my test and got a 100 which felt pretty good. None of these question where on the test but it still would be good to know what are the answer so I can see if I did well .....I think the the answer I choose are correct if you agree let me know but if I am wrong please correct me ......the professor has not had time to review the answer they are not test question but questions from our reading material in our critical care packages. I am so pleased that I did well on my first test. I am also feeling good on the unit I am on..... the nurses are pretty cool they really work as a team and not at all like some of the people said some critical care nurses are like at all. ( Side note: Is it true if your patient is having triplets on the PVC it could be from low sats I should check pulse ox......still new trying to know when to worry about some of the alarms I basically enter the room and check the patient)........looking forward to each of my critical care classes as a new orientee to the unit........very excited ..........had my first code the other morning ..........I went in early cause the nite before was the blizzard and I knew some nurses where mandated to stay so I made sure to get in extra early since I live close to the hospital ........was there maybe 5min....and a code was called and the crash cart was requested .................I grabbed it and it seemed I knocked down everything in my path to get to the room quickly ........my heart pounding I look at the patient and thank God it was just a snycope it seems they gave her ativan or something along the lines and she passed out they had trouble riving her so they called the code..........the nurses said so Angela did that wake you up ..........it sure did and relieved it was not a code but I tell you I got to improve on my driving skills with that cart.........oh the life of a newbie.....

Funny thing my preceptor said to me that made me feel relaxed and laugh at my self ..........I was working in Opthalmology before this and well all the focus is on the eyes so as a new nurse on the unit I was extra thorough on my eye exams being able to tell my preceptor things like if the patient had cataracts removed or not that they had narrow angle glaucoma based on the physical exam and signs of previous surg to correct it..... if they had a anterior chamber lens or not.... if the patient had an Afferent pupillary defect or not and if that patient may have had vision loss due to the stroke cause she was FC and HM vision .............................when writing my notes he was joking with me and said thank God for the patient that you where not a proctologist before you came to our unit or the patient would get extra special rectal exams ..........that had me rolling :rotfl: and I finally relaxed..............funny when your nervous you focus on what you know but my patient can breath easy no extra special rectal exams for them lol. :chuckle :rotfl: .........well thanks room for being patient with a newbie soon I will relax and get it all together and will not have to reguest urgent answer from my study book but be able to breath easy and maybe even get to chuckle at some other newbie on the block...........and say yes I remember that feeling

Love Angela

How can yu tell person w/ Acute Coranary syndrome that fibrinolytics treatment is working

an increase in ST segment(this is sign of heart injury)

oozing of bld from iv site ( sign of DIC)

onset of AIVR (Correct answer as per my reading)

decrease MB fraction (MB can be present if MI occur and gradual decreases in my novice understanding not related to reperfusion)

the answer is definitely AIVR since dysrhythmias are a sign of reperfusion and AIVR is the most common reperfusion dysrhythmias He reading I learned something

A pt presents w/ complaint of chest pain VS 122/88 HR 94 RR22 the monitor shows NSR with PVCs the first intervention is what

establish IV access

Obtain labs

Apply NTG paste

Administer O2

My answer is administer O2 what do you say

ST elevation leads II III and AVF indicate

Injury in the anterior wall

Injury to the post wall

Injury to the lateral wall

[B]My answer injury to the inferior wall what is the right answer[/b]

A finding on EKG that might indicate that a patient is experiencing an acute MI

Wide QRS

PR interval of more than .24 seconds

ST segment depressions greater than 5mm in noncontinous leads

[B]my answer ST elevation greater than 1mm in continuous leads [/b] What do you say

A pt in the ED is diagnosed with a right ventricular infarction

The bld pressure is 90/50mmhg

HR 120

RR24

Appropriate therapy

Adenosine 6mg

administer n/s at 200cc/hr

Administer fibrinolytic

Administer O2

I believe that you give O2 first and administer fibrinolytics

administer fibrinolytic or is this the answer

administer O2 at 2lter my answer

The generally accepted therapeutic window for administration of fibrinolytic in the setting of a STE AMI is

2hrs

4hrs

12hrs

18hrs

I believe that it is 12hrs as per my understanding the reading but I was reading a post in another section that a dr delay 6hrs and that was awful so is the window of time short or did I miss understand a post )

No evidence of benefit from fibrinolysis is found in pts with

St elevation

have a ST elevation and present in less than 4hrs after onset of chest pain

Have ST depression

I believe the answer should be ST depression b/c these pts are given GP which is different than fibrinolytic can some tell me more about this

Ok these are the Q&A looking forward to see if my answers are right and what you think thanks

Wish me good luck as a new orientee on the unit

thanks Again angela

Sorry that I was so stressed to know the answers before but my anxiety will go away with time and I feel more comfortable on the unit

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Hi the other day I posted this cause in a panic after reading my material for a test I was going to take that morning I noticed I missed doing practice questions. So I answered them the best I could and posted hoping someone knew the answers to make sure I understood the material before my test. Although no one answered them I went to my test and got a 100 which felt pretty good. None of these question where on the test but it still would be good to know what are the answer so I can see if I did well .....I think the the answer I choose are correct if you agree let me know but if I am wrong please correct me ......the professor has not had time to review the answer they are not test question but questions from our reading material in our critical care packages. I am so pleased that I did well on my first test. I am also feeling good on the unit I am on..... the nurses are pretty cool they really work as a team and not at all like some of the people said some critical care nurses are like at all. ( Side note: Is it true if your patient is having triplets on the PVC it could be from low sats I should check pulse ox......still new trying to know when to worry about some of the alarms I basically enter the room and check the patient)........looking forward to each of my critical care classes as a new orientee to the unit........very excited ..........had my first code the other morning ..........I went in early cause the nite before was the blizzard and I knew some nurses where mandated to stay so I made sure to get in extra early since I live close to the hospital ........was there maybe 5min....and a code was called and the crash cart was requested .................I grabbed it and it seemed I knocked down everything in my path to get to the room quickly ........my heart pounding I look at the patient and thank God it was just a snycope it seems they gave her ativan or something along the lines and she passed out they had trouble riving her so they called the code..........the nurses said so Angela did that wake you up ..........it sure did and relieved it was not a code but I tell you I got to improve on my driving skills with that cart.........oh the life of a newbie.....

Funny thing my preceptor said to me that made me feel relaxed and laugh at my self ..........I was working in Opthalmology before this and well all the focus is on the eyes so as a new nurse on the unit I was extra thorough on my eye exams being able to tell my preceptor things like if the patient had cataracts removed or not that they had narrow angle glaucoma based on the physical exam and signs of previous surg to correct it..... if they had a anterior chamber lens or not.... if the patient had an Afferent pupillary defect or not and if that patient may have had vision loss due to the stroke cause she was FC and HM vision .............................when writing my notes he was joking with me and said thank God for the patient that you where not a proctologist before you came to our unit or the patient would get extra special rectal exams ..........that had me rolling :rotfl: and I finally relaxed..............funny when your nervous you focus on what you know but my patient can breath easy no extra special rectal exams for them lol. :chuckle :rotfl: .........well thanks room for being patient with a newbie soon I will relax and get it all together and will not have to reguest urgent answer from my study book but be able to breath easy and maybe even get to chuckle at some other newbie on the block...........and say yes I remember that feeling

Love Angela

How can yu tell person w/ Acute Coranary syndrome that fibrinolytics treatment is working

an increase in ST segment(this is sign of heart injury)

oozing of bld from iv site ( sign of DIC)

onset of AIVR (Correct answer as per my reading)

decrease MB fraction (MB can be present if MI occur and gradual decreases in my novice understanding not related to reperfusion)

the answer is definitely AIVR since dysrhythmias are a sign of reperfusion and AIVR is the most common reperfusion dysrhythmias He reading I learned something

A pt presents w/ complaint of chest pain VS 122/88 HR 94 RR22 the monitor shows NSR with PVCs the first intervention is what

establish IV access

Obtain labs

Apply NTG paste

Administer O2

My answer is administer O2 what do you say

ST elevation leads II III and AVF indicate

Injury in the anterior wall

Injury to the post wall

Injury to the lateral wall

[B]My answer injury to the inferior wall what is the right answer[/b]

A finding on EKG that might indicate that a patient is experiencing an acute MI

Wide QRS

PR interval of more than .24 seconds

ST segment depressions greater than 5mm in noncontinous leads

[B]my answer ST elevation greater than 1mm in continuous leads [/b] What do you say

A pt in the ED is diagnosed with a right ventricular infarction

The bld pressure is 90/50mmhg

HR 120

RR24

Appropriate therapy

Adenosine 6mg

administer n/s at 200cc/hr

Administer fibrinolytic

Administer O2

I believe that you give O2 first and administer fibrinolytics

administer fibrinolytic or is this the answer

administer O2 at 2lter my answer

The generally accepted therapeutic window for administration of fibrinolytic in the setting of a STE AMI is

2hrs

4hrs

12hrs

18hrs

I believe that it is 12hrs as per my understanding the reading but I was reading a post in another section that a dr delay 6hrs and that was awful so is the window of time short or did I miss understand a post )

No evidence of benefit from fibrinolysis is found in pts with

St elevation

have a ST elevation and present in less than 4hrs after onset of chest pain

Have ST depression

I believe the answer should be ST depression b/c these pts are given GP which is different than fibrinolytic can some tell me more about this

Ok these are the Q&A looking forward to see if my answers are right and what you think thanks

Wish me good luck as a new orientee on the unit

thanks Again angela

Sorry that I was so stressed to know the answers before but my anxiety will go away with time and I feel more comfortable on the unit

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