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NEW QUESTION # 984
Rhabdomyolysis, a condition in which skeletal muscle tissue dies, releasing substances into the blood that cause kidney failure, are most likely occur in the patient who overdoses on which of the following drugs?
Answer: A
Explanation:
A patient with PCP overdose may exhibit any of the following signs and symptoms:
* Violent behavior
* Hallucinations
* Seizures
* Rhabdomyolysis
* Hypertensive crisis
While other drugs may also cause rhabdomyolysis, PCP is the most likely of the drugs listed to cause this.
NEW QUESTION # 985
A colleague is demonstrating decreased productivity, decreased interest in patient care, and increased errors. The nurse understands which of the following is MOST likely to be causing these behaviors?
Answer: A
Explanation:
Nursing burnout is a state of physical, mental, and emotional exhaustion experienced by nurses due to chronic workplace stress. It can result in decreased productivity, decreased interest in patient care, and increased errors. While it can result in malpractice, these symptoms are not caused by nursing malpractice. Work-life imbalance is part of nursing burnout; however, it is not the only factor. Drug diversion could cause decreased productivity, decreased interest in patient care, and increased errors; however, burnout is a more common cause of these behaviors. Additionally, drug diversion is often accompanied by other behaviors that are more consistent with the physiological effects of substance use.
NEW QUESTION # 986
Which of the following diagnostic procedures best pinpoints the location, size, and origin of a cerebral aneurysm?
Answer: A
Explanation:
Cerebral angiography is considered the gold standard for diagnosing and pinpointing the location, size, and origin of cerebral aneurysms. It involves the use of contrast material injected into the cerebral arteries and imaging to provide detailed visualization of the blood vessels in the brain, which is essential for accurate diagnosis and planning treatment strategies. References: = CCRN Exam Handbook and AACN's Certification Review Course materials.
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NEW QUESTION # 987
Which of the following statements made by a student nurse indicates that they understand aortic rupture?
Answer: A
Explanation:
"Both aortic rupture and aortic dissection are life-threatening emergencies" is the correct answer, as aortic dissection carries a high risk of rupture occurring. Aortic rupture is a life-threatening emergency and requires immediate treatment. Waiting 30 minutes to initiate treatment is likely to result in death in many situations. Disruption of one or two of the layers of the aortic vessel is aortic dissection, not aortic rupture. While aortic rupture is associated with poor outcomes, it may be treatable.
NEW QUESTION # 988
A patient is admitted with an acute anterior wall MI. Initial hemodynamic readings are:
The nurse anticipates initiating a plan of care for
Answer: B
Explanation:
The hemodynamic readings provided (BP 80/60, HR 110, CVP 20 mm Hg, PAOP 26 mm Hg, CO 2.1 L/min, CI 1.3 L/min/m², PAP 42/32 mm Hg, SVR 1762 dynes/sec/cm) suggest cardiogenic shock. This condition is characterized by low cardiac output and index, elevated filling pressures (CVP and PAOP), and systemic vascular resistance. Cardiogenic shock often occurs following an acute anterior wall myocardial infarction (MI) due to extensive damage to the myocardium, leading to impaired contractility and inadequate tissue perfusion.References: = CCRN Exam Handbook, page 12
NEW QUESTION # 989
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