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Critical Care Exam 1 Questions With Correct Answers 2024
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Critical Care Exam 1 Questions WithCorrect Answers 2024
You uhave ujust ureceived uchange uof ushift ureport. uWhich upatient ushould uyou uassess ufirst?
a. u62 uyear-old uman uwho uis uscheduled ufor ua ucardiac ucath, uand uis uready uto ube
utransported unow
b. u58 uyear-old uwoman uwith uCOPD uwith uan uO2 usaturation uof u92% uon u2 uliters uof uO2, uwho
uis uscheduled uto ube udischarged uhome uon uO2
c. u36 uyear-old uman uadmitted uwith uan uexacerbation uof uasthma uwith uRR u36 uat urest, uand
uwhose uwheezing uhas udiminished
d. u72 uyear-old uwoman uwith uhistory uof uasthma uwith uHR u90 uand uis udue ufor uher ubeta-
blocker u- ucorrect uanswer.C
RR u36 uand udiminished uwheezing uindicative uof urespiratory udistress uand uneeds uprompt
uattention
You uare uabout uto uhandover upatient ucare uto uyour uon-coming unurse ucolleague. uWhich
upatient urequires uthe umost uimmediate uattention?
1.) u62 uyear-old uman uwith uCOPD uwho uhas ujust ucompleted uhis uscheduled ubronchodilator u
2.) u68 uyear-old uwoman uwith utype u2 udiabetes uwho uhad uCVA u2 udays uago
3.) u72 uyear-old uwoman uwith uhistory uof uasthma uwith uHR u90 uand uis udue ufor uher ubeta-
blocker
4.) u48 uyear-old uman uadmitted uwith ucellulitis uof uhis uright uhand uafter ua uconstruction
uaccident, ucurrently uon uIV uantibiotics, uwith ua utemperature uof u101.8 u- ucorrect uanswer.4
Cellulitis uis userious uinfection, uinvolving uswelling uof usubcutaneous utissue, ufluid
udisplacement udue uto u3rd uspacing. uWhat uelse uwould uyou uassess?
You uare uassigned uto ucare ufor ua u58 uyear-old uman uwho uis uscheduled ufor ua ucardiac
uangiogram uduring uyour ushift. uWhat uactions ushould uyou utake? uCheck uall uthat uapply.
1-Explain uthat uthe upatient uwill ureceive ushort-acting uanesthesia
2-Review uthe upatient's uallergies, uspecifically uchecking uto usee uif uhe uhas uan uallergy uto
ucontrast udye
3-Inform uthe upatient uthat uhis uwife ushould ustay uat uhome uuntil uthe uprocedure uis ufinished,
uas ufamily umembers uoften udistract uthe uteam uin uthe ucath ulab
4-Review uand ureconcile uhis umedications. uConfirm uthat uhe udid unot utake uhis uwarfarin
5-Check uthe upatient's umost urecent ulabs upaying uparticular uattention uto uthe uPT uINR u-
ucorrect uanswer.2, u4, u5
, Contrast udyes ucontain uiodine uand uallergy ucould ulead uto uanaphylactic uresponse; umight
ureceive ulight usedation ubut uneeds uto ube uawake uand uable uto ufollow udirections
A u62 uyear-old uman, uwho uis us/p ucoronary uartery ubypass usurgery, uis uabout uto ube
utransferred ufrom uthe uICU uto uthe ucardiac ustepdown uunit. uWhat uis uthe umost ueffective uway
ufor uthe uICU u(reporting) unurse uand ucardiac ustepdown u(receiving) unurse uto uensure uthat
uessential upatient uinformation uis uconveyed?
1- uA uface-to-face uverbal ureport uwith uboth unurses upresent uin ua uquiet uroom
2- uThe uICU unurse uwill uprovide uan uaudio-recorded ureport ufor ufuture ureference uand
udocumentation
3- uThe uICU unurse uwill udocument uessential utransfer uinformation uin uthe upatient's umedical
urecord
4- uThe uICU unurse uwill uaccompany uthe upatient uto uthe ustepdown uunit uand uprovide ua uface-
to-face ureport, uusing ua uunit-approved, ustandardized uguide u- ucorrect uanswer.4
What uis uthe umost ucommon uoutcome uassociated uwith upoorly umanaged uhospital
udischarge? u- ucorrect uanswer.Adverse uDrug uevents
The unurse uis utracking udata uon ua ugroup uof upatients uwith uheart ufailure, uwho uhave ubeen
udischarged ufrom uthe uunit uwhere uyou uwork uand uare unow ubeing ufollowed uin uclinic. uWhat
uis uthe ubest uindicator uthat uthe unursing uinterventions uof umonitoring uand uteaching uhave
ubeen ueffective?
1- uEighty-five upercent uof upatients uhave unot ugained uweight
2- uSeventy-five upercent uof ufamily ucaregivers uhave ureported uwatching uan ueducational
uDVD
3- uFive upercent uof upatients uhave ubeen ureadmitted uto uthe uhospital uin uthe ulast u90 udays
4- uEighty upercent ureport uthat uthey uare utaking utheir umedications u- ucorrect uanswer.3
All uare uimportant ubut ulower uresource uutilization uis ubest uindicator uand uone uused uby
uaccrediting uagencies, upayors, uetc.
You uare uthe unurse upreparing uto udischarge ua u46 uyear-old uman uwith uhypertension uwho
uwas ustarted uon uchlorothiazide. uYou uask uthe upatient uto ushare uwith uyou uhis
uunderstanding uof uhis unew umedication. uWhich uof uthe ufollowing ustatements uindicates
uyour uteaching uhas ubeen ueffective? uSelect uall uthat uapply.
1- uI uwill uweigh umyself uevery uday uat uthe usame utime.
2- uI uwill unotify uCharles, uthe unurse upractitioner uin umy uprimary ucare udoctor's uoffice uif uI ugain
u3 upounds uor umore, uhave uincreased uswelling uin umy ufeet uand uankles, uor ufeel umore utired
uthan uusual.
3- uI uwill ureduce umy umedication uif uI ufeel uvery uthirsty uor udizzy.
4- uI uwill uwear usunscreen uif uI uwill ube uout uin uthe usun ufor ua ulong uperiod uof utime.
5- uIf uI uwant uto udrink ualcohol, uI uwill uwait uand utake umy umedication uright ubefore uI ugo uto
ubed. u- ucorrect uanswer.1, u2, u4
The ufollowing ushould uNOT ube uused uto ureduce upressure, uas uit umay uincrease ufriction
uinjuries:
uA) urolled utowels
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