What Do You Know About Cardiac Drip? Trivia Quiz
The quiz will assess the nurse's knowledge of cardiac drips.
- 1.. 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
- 2.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.
- 3.Nitroglycerine drip is to be started at 5 mcg/min. Bag contains 25/250cc. Find cc/hr.
- 4.Dopamine drip is ordered at 2 mcg/kg/min. Patient weighs 180 lbs. Bag contains 400mg/250cc. Find cc/hr.
- 5.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.
- 6.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
- 7.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.
- 8.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
- 9.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.
- 10.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
- 11.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.
- 12.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.
- 13.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.
- 14.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.
- 15.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
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