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RN PROGRESSIVE CARE EXAM 2 Exam fully solved & updated (latest version verified for accuracy) | Latest!!

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RN PROGRESSIVE CARE EXAM 2 Exam fully solved & updated (latest version verified for accuracy) | Latest!!

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RN PROGRESSIVE CARE
Course
RN PROGRESSIVE CARE

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RN PROGRESSIVE CARE EXAM 2 Exam fully solved &
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Terms in this set (63)



You want to assess for jugular vein distention (JVD). Position patient on their back with head of bed at 30 to 45 degrees.
What position would be BEST?


Your patient with triple cardiac bypass surgery is post- Perform a bedside EKG
op day 3. Chest tubes have been removed. They
suddenly report palpitations. Their blood pressure is
130/76 and heart rate is 140 bpm. What would you do
NEXT?


Your patient has a history of renal insufficiency. What Nonsteroidal anti-inflammatory medications
class of analgesics would MOST likely be
contraindicated for them?




Your patient is acutely ill. What route of medication Intramuscular
administration would likely be LEAST effective?


You are working with the code team to resuscitate a Epinephrine (Adrenaline) 1 mg IV
patient in ventricular fibrillation. Chest compressions
are ongoing and the patient has been shocked twice.
What emergency medication, if any, would you
administer at this juncture?


Your patient is on anticoagulant medication. You are I will not take ibuprofen (Motrin®) every day
discharging them and provide patient education.
Which statement by your patient indicates an
understanding of the education?

, Your non-verbal patient is alert. What type of pain • Visual pain scale
assessment would be appropriate? • Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)


Your patient has returned from the cath lab post Apply manual pressure to the site and call for help.
angioplasty. Upon assessment you note a large
hematoma at the sheath site. What would be your
immediate action?


Your patient has new onset seizures. They ask you what Common side effects are fatigue and depression
they should know about taking levetiracetam (Keppra®).
What would be your BEST response?


Your patient with cardiac bypass surgery is post-op day WBC greater than 19,000
2. The nursing assistant reports that your patient has a
temp of 101.3°F and blood pressure of 82/56. Their urine
output has decreased to less than 30 mL in the past 4
hours. You suspect a post-surgery complication. After
calling the physician you receive orders for STAT CBC,
CMP, and coagulation test. What results would you
expect to see after these labs are completed?


What is an adequate amount of urine output? 30 mL/hr


Your patient has left ventricular failure. What clinical Dyspnea, distant heart sounds, bilateral crackles
manifestations would you expect to see?




You are caring for your patient with an order for Call provider to clarify the order.
furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action?


Your patient is in cardiac arrest. Chest compressions are No changes. These are high quality compressions.
being performed. Capnography indicates the end-tidal
CO2 is 18 mmg. What do the capnography results
indicate about the chest compressions?


What is required before making a report of elder Suspicion of abuse
abuse?


You receive your patient with pneumonia from the ED. Initiate enteric contact isolation precautions for possible C. diff
Antibiotics and steroids have been initiated by the
provider. The patient reports abdominal pain and has a
large loose bowel movement. They inform you this is
their third bowel movement in the last two hours. What
would you do FIRST?


Your patient has developed sepsis from an indwelling Remove catheter.
urinary catheter. What would be your PRIORITY
intervention?

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RN PROGRESSIVE CARE

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