NRSG 4472: Chapter 9 (Sedation and Delirium Management) questions with correct answers
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Course
RN- Nursing
Institution
RN- Nursing
An intubated patient with acute respiratory distress syndrome is experiencing ventilator asynchrony. It is determined that the patient must be started on sedation. The ICU nurse knows that the most appropriate sedation medication for use with this patient includes which medication?
a) Lorazepam
b...
NRSG 4472: Chapter 9 (Sedation and Delirium
Management) questions with correct answers
An intubated patient with acute respiratory distress syndrome is
experiencing ventilator asynchrony. It is determined that the patient
must be started on sedation. The ICU nurse knows that the most
appropriate sedation medication for use with this patient includes which
medication?
a) Lorazepam
b) Haloperidol
c) Midazolam
d) Propofol Correct Answer-d
Which finding is a characteristic of deep sedation?
a) Patient responds to verbal commands
b) Patient is unarousable even by painful stimulation
c) Spontaneous ventilations are adequate
d) Patient requires assistance in maintaining a patent airway Correct
Answer-d
A patient with acute respiratory distress syndrome has been in deep
sedation with high-dose propofol infusion for 48 hours. The nurse
recognizes that the patient is at risk for the development of propofol
infusion syndrome (PIS). To determine the potential for PIS, what
laboratory value should be monitored?
a) Creatinine level
b) Low-density lipoprotein level
Delirium represents a global impairment of cognitive processes and is
best characterized by which finding?
a) A gradual onset, disorientation, and inappropriate behavior
b) An acute onset, disorientation, and hallucinations
c) Aphasia, apraxia, and agnosia
d) Impaired long-term memory, depression, and agitation Correct
Answer-b
Electrocardiographic (ECG) monitoring is recommended with
haloperidol administration because neuroleptic agents such as
haloperidol can cause which dysrhythmia?
a) Atrioventricular reentrant tachycardia
b) QTc-interval prolongation and torsades de pointes
c) PR-interval prolongation and atrioventricular (AV) block formations
d) Sinus node dysfunction and bradycardia Correct Answer-b
The nurse suspects that a patient has had an overdose of lorazepam
(Ativan). Which reversal agent is appropriate?
a) Naloxone (Narcan) 0.4 mg IM
b) Naloxone (Narcan) 0.4 mg IV, diluted
c) Flumazenil (Romazicon) 0.2 mg IV
d) Flumazenil (Romazicon) 2 mg IV Correct Answer-c
, A mechanically ventilated patient has been on a propofol (Diprivan) drip
for sedation for 6 days. The morning laboratory report shows a K+ level
of 6.0 with blood gases: pH 7.30, pO2 92, pCO2 42, and HCO3 15.
Which action should the nurse take first?
a) Turn off the propofol.
b) Wait for the rest of the morning laboratory work and notify the health
care provider (HCP).
c) Increase the rate on the ventilator.
d) Administer a prn dose of K+ STAT. Correct Answer-a
The nurse is performing a "sedation vacation" on a mechanically
ventilated patient on a midazolam (Versed) drip. After 15 minutes, the
patient's blood pressure and respiratory rate alarms are sounding. Which
action should the nurse perform first?
a) Auscultate heart sounds.
b) Turn the midazolam drip back on.
c) Silence the alarms and continue to observe the patient.
d) Notify the health care provider (HCP). Correct Answer-b
The nurse is administering IV haloperidol (Haldol) to a patient and
notices a new onset of QT prolongation. The nurse realizes that this
could cause what problem?
a) Dysrhythmias
b) Hypertension
c) Gastric reflux
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