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need help with questions Question 47 Intracranial pressure monitoring is instituted for a patient with a head injury. The patient’s arterial blood pressure is 92/50 mm Hg, and her intracranial pressure is 18 mm Hg. Using these values to calculate the patient’s cerebral pressure (CPP) the AGACNP determines: The CPP is adequate for normal cerebral blood flow The CPP is so low that ischemia and neuronal death are imminent The blood pressure should be increased to prevent cerebral hypoxia Lowering the patients blood pressure will reduce the intracranial pressure, increasing cerebral blood flow Question 48 A 32 year old female is admitted to intensive care unit after suffering a C7 incomplete spinal cord injury during a swimming competition. She received 3 liters of lactated ringers boluses in the ER to treat her hypotension. Several hours after admission, her blood pressure is 84/48, pulse 48, respirations 24, and her oxygen saturation is 92% on 3 liters oxygen via nasal cannula. What is the rationale for ordering the medication that you elected to treat her hypotension with? It stimulates alpha and beta-1 adrenergic and dopaminergic receptors resulting in renal/splanchic vasodilation and increased heart rate It stimulates alpha and beta-1 adrenergic and dopaminergic receptors resulting in increased vasoconstriction and increased heart rate It stimulates beta-1 receptors and has no effect on the heart rate It stimulates alpha and beta-1 cholinergic receptors and increases heart rate to another question will save this response. Question 49 All of the following may be associated with Guillain-Barr e Syndrome except: Weakening or tingling sensation in the legs First symptom is altered mental status Weakness in the arms and upper body Nearly complete paralysis Question 50 The AGACNP is applying for hospital privileges. Which of the following is correct related to the AGACNP’s scope of practice within the application packet? The AGACNP is able to see pediatric, adult, and geriatric patients. The AGACNP should request privileges for all available procedures listed on the packet. The AGACNP can work in the outpatient primary care setting since he/she is trained at a higher level of competency. The AGACNP scope of practice may differ from state to state due to the legislation passed in each stat Question 51 Which of the following is true about neurogenic shock? It can be caused by a severe allergic reaction It is treated by administration of blood and/or intravenous fluids It may occur after a spinal cord injury It would be treated by administration of antibiotic It would result in hypertension and a slow bounding pulse

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