Prophecy General ICU RN A v2

The patient’s ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of
acid imbalance does he have.

  • Metabolic Acidosis
    Common complications of massive transfusions are
  • Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
    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) *Wrong * 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) Wrong 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?
  • C) Tracheostomy
    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 nonintubated 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
    Your patient is in a Hypertensive crisis. What medication can you expect the
    doctor to order.
  • Nicardipine

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