You have administered a pain medication that has a half-life of 120 minutes,
onset of action 6 min, tmax of 15 minutes, and is mostly excreted in the uring.
when can the patient expect the medication to start working - ANSWERS-6
minutes
A lethargic but oriented patient is being admitted for sepsis and their family
member is in the waiting area. Their belonging include a ring, cell phone, and
wallet. The patient asks if they can keep the ring on and phone at bedside. What
is your BEST response? - ANSWERS-It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast -
ANSWERS-Acute kidney injury
What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST? - ANSWERS-Bipap
Your intubated and unresponsive patient is scheduled for surgery in the morning.
Who is the most appropriate person to make decisions for your patient? -
ANSWERS-The healthcare POA
When administering a titratable infusion what information must you check on the
medication IV bag to confirm the correct dose is being administered? - ANSWERS-
Concentration
,Your patient has a known baseline heart rate of around 45. The ECG monitor
keeps alarming when the heart rate decreases below 50. Their vital signs are
stable. What would you do? - ANSWERS-A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously -
ANSWERS-Titratable continous infusion
Which of the following can be given through an enteral feeding tube? - ANSWERS-
Immediate release pills
When donning an N-95 mask, how should you secure the nose? - ANSWERS-Fit
the nose piece with both hands
What type of medication is used in the critical care setting to help manage the
symptoms of alcohol withdrawal? - ANSWERS-Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should
you take? - ANSWERS-Carefully inspect items for presence of sharps.
Your patient is intubated and begins to cough up clear mucous inside their ETT.
What should you do NEXT? - ANSWERS-A. Instill normal saline to lavage
ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
, What is a complication of long term TPN? - ANSWERS-Liver injury
Which assessment establishes baseline hand perfusion before an ABG puncture or
arterial line placement? - ANSWERS-Allen Test
You find the concentration of an IV medication bag that is hanging and infusing
into your patient does not match the concentration in the order. What should you
do NEXT? - ANSWERS-Stop the infusion
Your patient has a right chest tube that was placed after thoracotomy. They
report that is very painful when they cough and request cough medicing. What
should you do? - ANSWERS-Teach them to splint their right side when coughing
and give pain medicine
Your patient had an unplanned self-extubation. They are now alert and sitting up.
Their pulse oximetry is 98% on 4 liters face mask. What action should you
prioritize? - ANSWERS-A. Inspecting the oral cavity
B. Checking blood pressure and the heart rate*WRONG
C. Administering an albuterol nebulizer
D. Performing an ordered STAT ABG *WRONG
One of your patients coded but is now stabilized and you are catching up on
charting. The step-down unit calls to get report on your other patient who is to be
transfered. The nurses near you do not appear busy. How should you prioritize
your time? - ANSWERS-Give report and ask the nurses to prepare the patient for
transfer.
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