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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? {Ans-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? {Ans-Ask the provider to update the route of administration. -What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis? {Ans-Hemoglobin -What ECG finding is indicative of hyperkalema? {Ans-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? {Ans-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? {Ans-Pulmonary artery or bladder -Your patient has just completed IV potassium replacement. When should you collect their repeat potassium level? {Ans-30-60 min -Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is the MOST important for you to evaluate? {Ans-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? {Ans-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? {AnsWithin 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 {Ans-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? {Ans-It is best if your family takes your belongings. -What is a significant complication of imaging studies performed with iv contrast {Ans-Acute kidney injury -What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive FIRST? {Ans-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? {Ans-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? {Ans-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? {Ans-A. Adjust the alarm parameters
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