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LATEST Final Exam Review 2023-2024 QUESTIONS AND ANSWERS GRADED A+

LATEST Final Exam  Review 2023-2024  QUESTIONS AND  ANSWERS GRADED A+

LATEST Final Exam
Review 2023-2024
QUESTIONS AND
ANSWERS GRADED A+


What is important to prevent in early acute spinal cord
injury (SCI) or trauma? - ANS-Secondary injuries
Rationale: Secondary injury can occur from over
resuscitation and inflammatory responses.
What are the primary risks/dangers caused by atrial
fibrillation? - ANS-- Ischemic stroke
- Pulmonary embolism
What might cause respiratory acidosis? - ANS-- Opioid
overdose
- Respiratory failure
- Pneumonia
- Chest trauma
- Spinal cord injury
Which of the following pts likely has a V/Q mismatch?
A) Esophagitis
B) Pulmonary edema - ANS-B) Pulmonary edema
Rationale: Pulmonary edema --> lack of diffusion in alveoli
--> Perfusion issue
Does atelectasis cause a V/Q mismatch? - ANS-Yes
Rationale: Alveoli collapsed --> ventilation mismatch -->
shunting
Hallmark signs of acute respiratory distress syndrome
(ARDS) - ANS-- Refractory hypoxemia
- Bilateral diffuse infiltrates (across all lung fields)
- Pulmonary edema
A pt has an increase in PaCO2 on their ABG. What type of
acid-base imbalance is this likely indicitive of? - ANSAcidosis
What type of pt is most likely to suffer from acute
respiratory distress syndrome (ARDS)? - ANS-Sepsis pt
What is the best way to tx acute respiratory distress
syndrome (ARDS) - ANS-- Tx causative condition
What are the components of the Ventilator-Associated
Pneumonia (VAP) / Ventilator-Associated Event (VAE)
bundle? - ANS-- Elevation of HOB (30-45 degrees)
- Daily "sedation interruption" and assessment of
readiness to extubate
- Peptic ulcer disease (PUD) prophylaxis
- DVT prophylaxis
- Oral care w/ chlorhexidine
- Hand Hygiene
What positioning is helpful for w/ acute respiratory distress
syndrome (ARDS)? - ANS-- Elevation of HOB (30-45
degrees)
- Proning
Pt is on mechanical ventilation. They are flailing around
and look to be in distress. Multiple ventilator alarms are
going off. What do you do? - ANS-- *Assess pt first*, then
check ventilator
- If there is an issue w/ the ventilator that cant be
diagnosed, use the BVM to bag pt.
Pt has atrial fibrillation. What medications might they be
on? - ANS-Anticoagulants
- Warfarin
- Factor Xa inhibitors (rivaroxaban, apixaban)

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