Lippincott's Q & A certification review : emergency nursing by Springhouse

By Springhouse

This finished workbook is an crucial reduction for emergency room nurses getting ready for the CEN examination. The ebook includes over 1,400 questions and solutions in an easy-to-use two-column format—questions within the left column, right solutions and rationales within the correct. A bound-in CD-ROM includes over three hundred extra questions.

Coverage encompasses all topic components within the CEN examination blueprint, and contains 5-tier triage, ECG strips, long term problems of ED care, catastrophe administration, and popularity and emergency administration of chemical and organic guns of mass destruction. The booklet contains pattern checks with a hundred seventy five questions, weighted in response to the CEN examination blueprint.

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Sample text

Deceleration trauma that causes shearing [ ] B. Penetrating trauma [ ] C. Blunt chest trauma [ ] D. Chest injuries that cause rib fractures Correct answer—A. Rationales: Deceleration may 21. A client is undergoing pericardiocentesis. The Correct answer—D. Rationales: If the needle touches rhythm previously showed sinus tachycardia. Premature ventricular contractions (PVCs) are now noted on the monitor. This condition indicates which of the following? [ ] A. It’s time for the physician to begin aspirating the syringe.

Nipride isn’t a calcium channel blocker. Nursing process step: Implementation 12. A client comes to the emergency department Correct answer—A. Rationales: A pericardial friction complaining of weakness and left-sided chest pain. The symptoms have been present for several weeks after a viral illness. Which of the following is most symptomatic of pericarditis? [ ] A. Pericardial friction rub [ ] B. Bilateral crackles [ ] C. Pain unrelieved by a change in position [ ] D. Third heart sound (S3) rub may be present with the pericardial effusion of pericarditis.

Removing a small amount of blood may improve blood pressure. Pericardial blood doesn’t clot because it’s defibrinated by cardiac motion within the pericardial sac. If the blood clots rapidly, the needle may have entered the heart. Clients with cardiac tamponade may have muffled heart sounds. If pericardiocentesis is effective, heart sounds become normal. Nursing process step: Evaluation 11. A client comes to the emergency department Correct answer—A. Rationales: Nipride reduces complaining of severe headache and blurred vision.

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