Prophecy general ICU A V3 Questions & Answers, Distinction Level Assignment Has everything
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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?
Give report and ask the nurses to prepare the pat...
one of your patients coded but is now stabilized and you are catching up on cha
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Prophecy general ICU A V3 Questions & Answers,
Distinction Level Assignment Has everything
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? Correct Answer: Give report and ask the nurses to prepare the patient
for transfer.
Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications? Correct
Answer: Ask the provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis? Correct Answer: Hemoglobin
What ECG finding is indicative of hyperkalema? Correct Answer: peaked T wave
You witness a patient that is not assigned to you fall out of bed and begin crying
for help but you do not see the assigned nurse to assist the patient. What should
you do first? Correct Answer: Check on the patient's status and call for assistance.
When assessing for fever in your intubated patient, placement of the thermometer
in which area would be most accurate? Correct Answer: Pulmonary artery or
bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level? Correct Answer: 30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? Correct
Answer: ECG
Your patient is undergoing a weaning trial from the ventilator. Fifteen minutes into
the trial the patient's heart rate increases to 140 bpm and they start to grab at their
oxygen and IV tubing. What should you do NEXT? Correct Answer: C. Stop
weaning and rest the patient
, While assessing a patient just admitted to the hospital, he admits to drinking 12
cans of beer a day, with the last drink being right before admission. What is the
expected onset of delirium tremens? Correct Answer: Within 48-72 hours
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 Correct Answer: 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? Correct Answer: It is best if your family takes your
belongings.
What is a significant complication of imaging studies performed with iv contrast
Correct Answer: Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn
likely receive FIRST? Correct Answer: 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? Correct
Answer: 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? Correct
Answer: 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? Correct Answer: A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously Correct
Answer: Titratable continous infusion
Which of the following can be given through an enteral feeding tube? Correct
Answer: Immediate release pills
When donning an N-95 mask, how should you secure the nose? Correct Answer:
Fit the nose piece with both hands
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