ACLS Study Guide 3 Questions with Complete Verified Solutions 2024/2025, Study Guides, Projects, Research of Nursing

Download ACLS Study Guide 3 Questions with Complete Verified Solutions 2024/2025 and more Study Guides, Projects, Research Nursing in PDF only on Docsity! ACLS Study Guide 3 Questions with Complete Verified Solutions 2024/2025 Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? Monitor the patient's PetCO2 Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return a spontaneous circulation in the field? Coronary reperfusion-capable medical center Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? Cyanosis Which type of atrioventricular (AV) block best describes this rhythm? Second degree atrioventricular (AV) block type I To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? Once every 5 to 6 seconds In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal (ET) tube? Continuous waveform capnography You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment approach is best for this patient? Start fibrinolytic therapy as soon as possible Which best describes this rhythm? Third-degree atrioventricular block What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted management after cardiac arrest? 32 degrees celsius to 36 degrees celsius Which is the recommended first intravenous (IV) dose of amiodarone for a patient with refractory ventricular fibrillation? 300mg Which is the primary purpose of a medical emergency team or rapid response team? Improving patient outcomes by identifying and treating early clinical deterioration Which is the recommended next step after a defibrillation attempt? Resume CPR, starting with chest compressions EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and reduce the time to treatment? Alert the hospital A responder is caring for a patient with a history of congestive heart failure (CHF). The patient is experiencing shortness of breath, a blood pressure (BP) of 68/50 mmHg, and a heart rate of 190/min. The patient's lead II ECG is displayed here. Which best characterizes this patient's rhythm? Unstable supraventricular tachycardia (SVT) Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive. Which is the next step in your assessment and management of this patient? Check the patient's breathing and pulse Which best describes the length of time it should take to perform a pulse check during the BLS Assessment? 5 to 10 seconds You instruct a team member to give 0.5 mg atropine IV. Which response is an example of closed- loop communication? "I'll draw up 0.5 mg of atropine." What is an effect of excessive ventilation? Decreased cardiac output If a team member is about to make a mistake during a resuscitation attempt, which best describes the action that the team leader or other team members should take? Address the team member immediately Which best describes this rhythm? Monomorphic ventricular tachycardia For STEMI patients, which best describes the recommended maximum goal time for emergency department door-to-balloon inflation time for percutaneous coronary intervention? 90 minutes Which is the maximum interval you should allow for an interruption in chest compressions? 10 seconds Which is one way to minimize interruptions in chest compressions during CPR? Continue CPR while the defibrillator charges Despite 2 defibrillation attempts, the patient remains in ventricular fibrillation (V-Fib). Which drug and dose should you administer first to this patient? Epinephrine 1 mg A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mmHg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. Despite the drug provide above and continued CPR, the patient remains in ventricular fibrillation (V-Fib). Which other drug should be administered next? Amiodarone 300 mg A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mmHg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. The patient has return of spontaneous circulation and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you chose for this patient? Initiate targeted temperature management A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mmHg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. Which would you have done first if the patient had not gone into ventricular fibrillation (V-Fib)? Obtained a 12-lead ECG A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill-appearing, pale, and goodly disphorttie. Her radial is weak, thread, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. Based on this patient's initial assessment, which adult ACLS algorithm should you follow? Tachycardia A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill-appearing, pale, and goodly disphorttie. Her radial is weak, thread, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take? Apply oxygen A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill-appearing, pale, and goodly disphorttie. Her radial is weak, thread, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. After your initial assessment of this patient, which intervention should be performed next? Synchronized cardioversion A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill-appearing, pale, and goodly disphorttie. Her radial is weak, thread, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority? Perform defibrillation H's Hypovolemia, Hypoxia, Hypoglycemia, Hypokalemia, Hyperkalemia T's Tension pneumo, Tamponade, Thrombosis pulm, Thrombosis cardia