Term
43. Which of the following is FALSE regarding invasive line complications?
III. Sluggish infusion is often associted with catheter kinks
IV. If unable to withdraw blood, flush with 20ml of Normal Saline
V. Infection of the exit site requires dressing changes every two days
VI. You can avoid catheter damage by keeping the catheter loped on the chest wall. |
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Definition
| V. Infection of the of the exit site requires dressing changes every two days |
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Term
Which of the following is CORRECT regarding CVP monitoring?
a. Allows accurate assessment of Left Ventricular function
b. Allows rapid assessment of Left ventricular and end diastolic pressure (LVEDP)
c. CVP fluctuates with right ventricular compliance
d. Accurately measures PCWP |
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Definition
| C. CVP fluctuates with right ventricular compliance. |
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Term
45. PCWP stands for:
a. the pulmonary capillary wedge pressure
b. The right arterial afterload
c. The left atrial pressure
d. The pulmonary artery diastolic pressure |
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Definition
| a. The pulmonary capillary wedge pressure |
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Term
46. Which of the following is CORRECT regarding the difference between a spontaneously wedged catheter, as opposed to one that is occluded:
a. Aspirate for blood return
b. Inflate the baloon
c. Excessive catheter lengths are more prone to occlusion
d. reconfirm proper transducer placement at the phlebostatis axis |
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Definition
| a. aspirate for blood return |
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Term
47. Why is it best to place the alarm at the "pulse" mode rather than the "heart rate" mode?
a. It would detect bleeding from loose tubing
b. the heart rate is picked up off of the blood pressure wave form, making it more accurate
c. it would detect air in the system
d. It would detect if improperly wedged |
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Definition
| a. It would detect bleeidng from loose tubing |
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Term
48. A disease that would increase the afterload of the heart would result in a/an:
a. increase in cardia index
b. Decrease in the stroke volume
c. Increase in myocardial contractility
d. Decrease in arterial pressure |
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Definition
| b. Decrease in the stroke volume |
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Term
49. What would the effect of positive pressure ventilation be on hemodynamic waveforms?
a. there would be no effects
b. The same as those associated with spontaneous respirations
c. hemodynamic pressure waves rise during positive pressure ventilation
d. Transducer calibration would need to reflect higher pulmonary pressures |
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Definition
| c. Hemodynamic pressure waves rise during positive pressure ventilation. |
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Term
50. which of the following is FALSE regarding the Rh factor?
a. It is an antigenic substance
b. It is present in blood plasma
c. Rh positive blood administered to an Rh negative patient will result in hemolysis
d. Rh positive blood adminstered to an Rh negative patient will result in anemia |
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Definition
| b. It is present in the blood plasma |
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Term
51. Which blood preparation contains the formed elements, clotting and antibodies?
a. whole blood
b. packed red blood cells
c. Fresh frozen plasma
d. Albumin |
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Definition
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Term
52. Which of the following test results would be the most helpful in assessing a patien with a bleeding disorder?
a. red blood cell count
b. Platelet count
c. Hematocrit
d. Differential count |
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Definition
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Term
53. Which of the following statesments is CORRECT with regard to decreasing the danger of transfusion reactions?
a. administering a fluid bolus of normal saline
b. adding normal saline to the transfusion
c. Monitoring the urine output
d. slowly infusing blood during the first 15 minutes |
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Definition
| d. Slowly infusing blood during the first 15 minutes |
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Term
54. Which of the following actions would be carried out INITIALLY if a patient experienced a transfusion reaction?
a. Notify medical control
b. administer high flow oxygen
c. discontinue the infusion
d. raise the patient's head and monitor vital signs |
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Definition
| c. discontinue the infusion |
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