Exam (elaborations)
ATI SWIFT RIVER QUESTIONS AND ANSWERS
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ATI SWIFT RIVER QUESTIONS AND ANSWERS
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1 of 661Give 1mg of Atropine, IVP as ordered by Provider.Atropine 1mg is
drug of choice for treatment of bradycardia.
2Reassess patients vital signs in 3-5 minutes: BP: 85/44, P: 52, R:16
(patient intubated, and ventilated by Respiratory Therapy).In order to
determine the effectiveness of the Atropine.
3Repeat 1mg of Atropine administration within 3-5 minutes of first
dose.Established ACLS protocol for treatment of bradycardia as first
dose was ineffective.
,4Prepare for external pace-maker placement.Emergency treatment
for bradycardia due to heart block when Atropine is ineffective.
5Document and accompany patient to ICU immediately, and
handoff report to receiving ICU nurse.To ensure continuity of care
and accurate SBAR.
Give this one a try later!
Donald Lyles Scenario 4
After 15 minutes, the patients rhythm returns, but he is still unresponsive. He is
now in Ventricular tachycardia with a weak pulse, and a BP of 70/40. Prepare to
initiate Cardio-version.
Donald Lyles Scenario 5
Mr. Lyles responded to the first cardioversion, and is now in sinus-
bradycardia with a second-degree heart block. He is still unresponsive.
Vital signs are BP:80/40, P: 46, R:16 (patient now intubated, and ventilated
by Respiratory Therapy).
Donald Lyles Scenario 2
The CODE-blue team arrives with a crash cart, Physician, Anesthetist, and 2
critical-care nurses, and 1 Respiratory therapist.
Donald Lyles Scenario 3
You have now been assigned to document the ongoing event as the CODE team
continues with the resuscitation.
Don't know?
, 2 of 66
Definition
1 Use therapeutic communication/Active Listening Assessment using
Therapeutic Communication.
2 Educate patient Education is to be achieved after understanding
patient condition.
3 Evaluate understanding Evaluation can be achieved after patient
education.
4 Contact dietary consult Proper diet can facilitate renal stone
prevention.
5 Document results Accurate documentation is to be performed
after patient care is performed, NEVER BEFORE!
Give this one a try later!
Marcella Como Scenario 2
Marcella ComoLater in morning care, Ms. Como requests to take a shower
stating she feels 'dirty'.
Tom Richardson Scenario 4
Mr. Richardson is now pain free and questioning why he is plagued with
recurring urinary stones.
Tom Richardson 46yr-old. Dx- urinary stones with 3 episodes/5yrs. Allergic to
sulfa drugs. Vital signs -Temp 98.4,BP 175/105, P 112, RR 28, SaO2 94%; Neuro-
WNL's. Skin warm and pale. Generalized weakness, blood tinged urine and
severe pain upon urination, GI- n/v. Clear liquid diet. Strict I&O and strain all
urine, filters in bathroom. Patient demonstrates urine strain procedure. Severe
pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. IV
D5 1/2 NS @100ml/hr. Dr. Small at bedside with patient and family. Stat lithotripsy
treatment ordered. Awaiting transport.
, Marcella Como Scenario 3
Marcella ComoIn the afternoon, Ms. Como is stating that she does not want to
see her husband or any visitors. (Think Therapeutic Communication)
Don't know?
3 of 66
Definition
1 Assess intake and output and possible reasoning Assessment is
needed to determine intake and 'Active listening' is important step to
understanding patient condition/concerns.
2 Construct dietary consult (plan) Nurse, patient, & dietitian work
together to form plan.
3 Acquire daily weight and food intake Monitoring daily weight and
accurate intake and output will assist in evaluation of plan.
4 Evaluate outcome of dietary plan Confirms validity & reliability of
plan.
Give this one a try later!
John Duncan Scenario 1
As you enter the room, Mr. Duncan is refusing to eat foods from bland diet.
John Duncan Scenario 3
Several hours later, Mr. Duncan is now complaining of nausea.
John Duncan Scenario 5
Mr. Duncan's wife meets you in hall asking what she could bring her husband to
eat from home.
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