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"Progressive Care RN A: Verified Answers and Detailed Rationale"

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"Progressive Care RN A: Verified Answers and Detailed Rationale"

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  • January 31, 2025
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 3xam
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2  reviews

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By: DrBidesh • 3 weeks ago

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By: alex71 • 1 month ago

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Drwandu
1. The nurse notes that a patient receiving a blood transfusion develops
a fever, chills, and low back pain. What is the nurse’s priority action?
A. Slow the infusion rate.
B. Stop the transfusion immediately.
C. Administer acetaminophen.
D. Notify the healthcare provider.
Answer and Rationale:
B. Stop the transfusion immediately.
Rationale: These symptoms indicate a possible transfusion reaction,
which requires stopping the transfusion to prevent further
complications.


2. A patient with sepsis is receiving norepinephrine via continuous
infusion. Which parameter is the priority to monitor?
A. Heart rate
B. Urine output
C. Mean arterial pressure (MAP)
D. Central venous pressure (CVP)
Answer and Rationale:
C. Mean arterial pressure (MAP)

,Rationale: The primary goal of norepinephrine in sepsis is to maintain
adequate MAP for organ perfusion.


3. A patient with a tracheostomy is experiencing copious secretions and
a SpO2 of 85%. What is the nurse’s first action?
A. Increase supplemental oxygen.
B. Suction the tracheostomy tube.
C. Notify the healthcare provider.
D. Assess lung sounds and respiratory effort.
Answer and Rationale:
B. Suction the tracheostomy tube.
Rationale: Suctioning clears the airway and improves oxygenation in
patients with tracheostomies.


4. The nurse is caring for a patient with a chest tube following thoracic
surgery. Which observation requires immediate action?
A. 50 mL of drainage in the last hour.
B. Continuous bubbling in the water seal chamber.
C. Tidaling in the water seal chamber during inspiration.
D. The chest tube is secured to the chest wall.
Answer and Rationale:
B. Continuous bubbling in the water seal chamber.

, Rationale: Continuous bubbling indicates an air leak, which requires
immediate assessment and intervention.


5. A patient recovering from a myocardial infarction is receiving a beta-
blocker. Which assessment finding requires immediate intervention?
A. Heart rate of 58 bpm
B. Blood pressure of 100/60 mmHg
C. Wheezing during lung auscultation
D. Fatigue and weakness
Answer and Rationale:
C. Wheezing during lung auscultation
Rationale: Wheezing may indicate bronchospasm, a potential adverse
effect of beta-blockers, especially in patients with reactive airway
diseases.


6. A patient with an ischemic stroke is receiving thrombolytic therapy.
Which finding requires immediate intervention?
A. Headache
B. Blood pressure of 180/100 mmHg
C. New-onset confusion
D. Blood glucose of 150 mg/dL
Answer and Rationale:
C. New-onset confusion

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