What Do You Know About Cardiac Drip? Trivia Quiz

15 Questions | By Barrij1029 | Last updated: May 31, 2019 | Total Attempts: 1051

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What Do You Know About Cardiac Drip? Trivia Quiz

The quiz will assess the nurse's knowledge of cardiac drips.

Questions and Answers

1.

An asmatic patient's rythym has gone into SVT. After assessing you determine that he is stable. Which of the following would you not do?
- A.
  
  Obtain 12 lead EKG
- B.
  
  Attempt to slow patient's heart rate through use of vagal maneuvers. Ask patient to cough and bear down.
- C.
  
  Call the physician.
- D.
  
  Give Adenosine 6 mg rapid IV push over 1-3 seconds, with rhythm strip running continuously.
2.

The monitor tech informs you that your patient is in SVT. You assess and find he is having chest pain, SOB, Decreased BP and decreased LOC. Your immediate response is:
- A.
  
  Prepare for Cardioversion
- B.
  
  Notify physician before attempting synchronized cardioversion if time permits.
- C.
  
  Have available: IV access, CRT cart, O2 source, suction
- D.
  
  All the above
3.

Your patient is in VT and stable. What is your next step?
- A.
  
  Call Physician and monitor patient.
- B.
  
  Give Adenosine 6 mg rapid IV push over 1-3 seconds, with rhythm strip running continuously.
- C.
  
  Call Code Blue and begin CPR.
- D.
  
  Administer Lidocaine bolus 1-1.5 mg/kg then start Lidocaine drip.
4.

The nurse is scheduled to administer a dose of digoxin (Lanoxin) to an adult client with atrial fibrillation. The client has a potassium level of 4.6 mEq/L. The nurse interprets that the:
- A.
  
  Dose should be omitted only for that day.
- B.
  
  Client needs a dose of potassium before receiving digoxin.
- C.
  
  Dose should be withheld and the healthcare provider notified.
- D.
  
  Dose should be administered as ordered
5.

. As a part of the nursing process, the nurse will evaluate for therapeutic effects of digoxin therapy for the treatment of heart failure. Desired outcomes would include:CHECK ALL THAT APPLY:_____Apical heart rate greater than or equal to 100 beats/minute_____Increased urinary output_____Diminished peripheral pulses_____Decreased dyspnea and pulmonary crackles_____Improved activity tolerance
6.

The Cardiac Action of Nesiritide (Natrecor) is:
- A.
  
  Depresses excitability of cardiac muscle, slows conduction to atrium, bundle of HIS and ventricles.
- B.
  
  Causes vasodilation. Mild diruetic effect.
- C.
  
  Delay in rate of repolarization, prolonged action potential phase, slowing of the speed of electrical conduction through normal and accessory pathways.
- D.
  
  Increases electrical stimulation threshold of ventricle, stabilizes cell membrane, decreases automaticity.
7.

The Cardiac Action of Lidocaine is:
- A.
  
  Increases electrical stimulation threshold of ventricle, stabilizes cell membrane, decreases automaticity
- B.
  
  Causes vasodilation. Mild diruetic effect.
- C.
  
  Delay in rate of repolarization, prolonged action potential phase, slowing of the speed of electrical conduction through normal and accessory pathways.
- D.
  
  Depresses excitability of cardiac muscle, slows conduction to atrium, bundle of HIS and ventricles
8.

Indications for Diltiazem (Cardizem) include:
- A.
  
  Maligant ventricular ectopy. (frequent PVC's, Vtach, Vfib.
- B.
  
  Unstable or chronic angina in hemodynamically stable patient.
- C.
  
  Atrial flutter or Atrial Fibrillation with rapid ventricular response.
- D.
  
  Decreased cardiac output.
9.

Which of the following is the correct way to titrate Nitroglycerine (Nitrate)?
- A.
  
  Titrate by 10 mcg/min every five minutes.
- B.
  
  Titrate by 10 mcg/min every 15 minutes.
- C.
  
  Titrate by 5 mcg/min every 5 minutes.
- D.
  
  Do not titrate, call physician for orders.
10.

Your patient is in pulseless Vtach. Which of the following do you do?
- A.
  
  Call Code Blue
- B.
  
  Begin CPR
- C.
  
  Defibrillate immediately at 360 joules (monophasic) or 200 joules (biphasic)
- D.
  
  Check monitor to verify whether rhythm changes
- E.
  
  All the above.
11.

When rates are changed on Cardiac Drips, vital signs should:
- A.
  
  Continue as previously checked.
- B.
  
  Be repeated as indicated under "initial monitoring".
- C.
  
  Be checked every 8 hours.
- D.
  
  Every 30 minutes/2 hours.
12.

Which of the following is the most important to closely observe with patients on cardiac drips?
- A.
  
  HCT and HGB
- B.
  
  Drowsiness
- C.
  
  Decreased renal function
- D.
  
  Loss of appetite
13.

Mrs. Smith requires and IV bolus of Cardizem 0.25 mg/kg. She weighs 125 pounds (58.8 killograms). What is the total bolus dose (mg) and how much will you give (cc)? Ampule contains 5 mg/cc.
14.

Nitroglycerine drip is to be started at 5 mcg/min. Bag contains 25/250cc. Find cc/hr.
15.

Dopamine drip is ordered at 2 mcg/kg/min. Patient weighs 180 lbs. Bag contains 400mg/250cc. Find cc/hr.