you are on shift and overhear another nurse discus
what should you monitor for a patient at risk for
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Prophecy Progressive Care
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Prophecy Progressive Care RN B V3
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Answers 2024
When setting up a room for a new patient, what emergency equipment MUST be
accessible and working at the bedside? - Correct Answer-Bag Valve mask
You are on shift and overhear another nurse discussing confidential patient information
on their cell phone during their break. What would be the BEST action to take? - Correct
Answer-Speak with the nurse in private afterwards to remind her of HIPAA regulations
What should you monitor for a patient at risk for respiratory depression? - Correct
Answer-PaO2
What is a complication of high PEEP? - Correct Answer-Pneumothorax
What hospital acquired condition do proton pump inhibitors help prevent? - Correct
Answer-Ventilator acquired pneumonia
What is the primary medication for glucose in a patient with acute diabetic ketoacidosis?
- Correct Answer-Continuous IV regular insulin
What staff member would you ask to accompany you when transporting an intubated
patient to imaging for a CT? - Correct Answer-Respiratory Therapist
Which ventilator setting correlates with the amount of volume of air delivered to the
lungs with each breath? - Correct Answer-Tidal volume
What data supports the accuracy of an arterial line BP reading? - Correct Answer-
Transducer 3mm above right atrium WRONG
You are in the middle of receiving a bedside report at change of shift when you and the
other nurse notice a new order for NG tube insertion that the physician placed 30
minutes ago on the previous nurse's shift. How should you handle the order? - Correct
Answer-Complete an incident report and give it to the supervisor WRONG
Why should heparin IV infusion be administered in a dedicated IV line? - Correct
Answer-To minimize the risk of accidental bolus to patient
You have received an order to remove your patient's surgical staples. What assessment
finding indicates the need for further discussion with the ordering provider? - Correct
Answer-Gap between sides of incision
, A new nurse asks you if a patient who is intubated and receiving an IV paralytic can
sense what is going on around them. Which of the following is the BEST response? -
Correct Answer-"The paralytic decreases the patient's awareness of their surroundings."
Your patient's with a wound vac keeps alarming with an air leak and the wound care
nurse cannot see the patient until tomorrow. What steps can you take to troubleshoot
the alarm? - Correct Answer-Gently pat around the edge of the transparent dressing
What is a frequent complication of pancreatoduodectomy, also known as Whipple
surgery? - Correct Answer-Delayed gastric empytying
You are helping admit a new patient who is unconscious and does not have family at
the bedside. While inspecting their belongings you find many $100 bills in their wallet.
What should you do NEXT? - Correct Answer-Document in the patient's medical record
WRONG
Which of the following helps prevent errors when programming a smart IV pump to
administer a medication infusion? - Correct Answer-Utilize the preset concentration
whenever possible
Which of the following infusions must be stopped before a patient on a ventilator can be
extubated? - Correct Answer-Propofol (Diprivan)
What type of treatments might be continued after life sustaining interventions are
withdrawn? - Correct Answer-Applying balm to the lips
Your patient's vital signs have been stable for 2 days and their vasoactive infusions,
arterial line, and CVP monitoring was discontinued yesterday. What step is MOST
important for you to take to help prevent central line associated blood stream infection?
- Correct Answer-Advocate for the removal of the central line
Your patient had a chest tube inserted 3 hours ago. they are not experiencing
unexplained respiratory distress. After notifying the provider, what STAT order would
you expect to receive? - Correct Answer-Chest X ray
Your patient has a history of diabetes, polycyclic ovary disease, and recent hip surgery.
The patient calls you to the bedside and says, "I just don't feel right." What is your BEST
NEXT action? - Correct Answer-Check blood glucose
Which of the following PPE should be removed FIRST? - Correct Answer-Gloves
Which of the following requires IMMEDIATE nursing intervention when present in a
patient with increased ICP? - Correct Answer-Sudden onset of vomiting
Muffled heart sounds could indicate what condition? - Correct Answer-Cardiac
tamponade
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