Common complications of massive transfusions are
Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L
Metabolic Acidosis
Long term use of TPN may lead to:
Liver Failure
Which of the following is a potential complication of high PEEP
Pneumothorax
What is a common assessment finding for a patient returning from a small bowel resection?
Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the following would you suspect.
A)WRONG Hypoxemia
B) Acute MI
C) Panic Attack
D) Hypoglycemia
The staff nurse asks the nursing assistant to check on a patient. The nursing assistant reports back that the patient is experiencing chest pain and is diaphorectic. Which of the following can the staff nurse delegate to the assistant?
A) WRONG Calling the physician
B) Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a candy bar and begins to choke. The physician is unable to clear the airway. You would expect to prepare for which of the following. emergency procedures?
A) WRONG Endotracheal Intubation
B) Chest tube insertion
C) Tracheostomy
D) Bronchoscopy
The initial insulin therapy for a patient with acute DKA is usually administered by which route
Intravenous bolus followed by a continuous infusion
Screening tests for DIC include:
D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to regulate water balance?
ADH
Which of the following IV sedatives would most likely be ordered for a non-intubated patient?
Precedex
Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they become dyspneic and bradycardic with excessive salivation. What do you suspect happened?
Aspiration
Which of the following is a response of the cardiovascular system to early sepsis?
Increased cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated?
Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
Hypertensive crisis
Nicardipine
Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in the urinary catheter tubing and decreased urinary output. Which of the following conditions would you suspect?
Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma?
Beta Blockers
CAM-ICU is a measure for which condition?
Delirium
Which of the following drugs would you expect to administer in a patient diagnosed with myasthenia gravis?
Mestinon
ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L
Respiratory Alkalosis
When assessing a chest tube, which of the following indicates a possible air leak
Excessive bubbling in the water chamber
Which of the following medications improves contractility, increases stroke volume, and increases cardiac output?
Dobutamine
Muffled heart sounds would indicate what condition?
Cardiac tamponade
Pain assessment in an unconscious patient
Requires astute assessment skills using multiple approaches
Which of the following tests should be performed prior to administering tPA
CT Scan
Which of the following classes of drugs are used in an effort to therapeutically decrease venous return and reduce peripheral vascular resistance?
Vasodilators
Identify the type of renal failure that results from bilateral obstruction of urine outflow
Post-renal failure
A patient exhibits hypotension without an increase in HR is indicative of
Neurogenic Shock
Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and coumadin. Which medication would you hold for a blood pressure of 80/50?
Lasix
A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin, confusion, and agitation, BP 80/40, HR 145. What type of shock is this?
Hypovolemic
The patient is admitted with suspected Guillain-Barre syndrome. The nurse would expect CSF analysis to reveal which of the following to confirm the diagnosis?
CSF protein of 60 mg/dL and WBC 0 cells/mm3
Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the following should the nurse observe for during the assessment?
Hypotension
CVP measures the pressure in the
right atrium
Which lab value is used to determine the severity of sepsis
lactic acid
Which of the following hormones is secreted by the thyroid gland?
calcitonin
An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which diagnosis?
Adrenal crisis
The most common cause for the patient to file a nursing negligence claim is
Ineffective communication
Which medication is a paralytic
Vecuronium
90% of thrombi develop in which area of the body?
Legs
Which of the following medications is usually the first to be administered during status epilepticus
Ativan
Pt’s BP on admission was 110/40, and Hgb was 10.5. The BP is now 80/50 and pt is vomiting coffee ground emesisi. You expect Hgb to be:
8
You note the appearance of a U wave on the ECG tracing of your patient, This would indicate that the nurse check laboratory values for the presence of
Hypokalemia
Must be performed prior to A-line insertion
Allen test
Diet best for patient with renal failure?
low sodium, low potassium, and moderate protein
You’re caring for a 49 yo head trauma pt with an ICP line. What is the formula for calculating the CPP?
MAP – ICP
Pt presents with fever, chills, cough, SOB and chest pain. Which diagnosis would you anticipate?
Pneumonia
CVP normal range
2-8 mmHg
Pt presents with stiff neck, headache and fever for the last 24 hr. What condition would you suspect?
Bacterial meningitis
Hypotensive crisis, which med would you anticipate giving?
Levophed
Hypotonic solution
0.45% NS
What pathological condition might you suspect in a patient with a serum sodium of 165 and serum osmolality of 330?
Diabetes Insipidus
Med commonly used to decrease ICP
Mannitol
ABG 7.35, paCO2 60mmHg, HCO3 38 mEq
Compensated respiratory acidosis
Contraindicated for Lorazepam
Pt with acute angle-closure glaucoma