PROGRESSIVE CARE RN A 2024 QUESTIONS AND ANSWERS

You are administering 1 unit of packed red blood cells (PRBC) to your patient. They developshortness of breath, tachycardia, and distended jugular veins in the first 15 minutes of PRBCadministration. What type of transfusion reaction are they likely experiencing? Confusion Assessment Method (CAM) Initiate enteric contact isolation precautions for possible C. diff • Visual pain scale • Verbal descriptive scale • Vital signs assessment to approximate pain • Behavioral pain scale (Wrong) • Transfusion related hemolytic reaction (Wrong) • Septic transfusion reaction • Transfusion related fluid overload • Anaphylaxis 1 of 62 Term Your patient was diagnosed with atrial fibrillation. They are being discharged on anticoagulanttherapy every evening. Which patient statement indicates a need for further teaching? Encourage patient to cough and deep breathe I cannot wait to get back to riding my horse. No changes. These are high quality compressions. Common side effects are fatigue and depression 2 of 62 Term What is required before making a report of elder abuse? Alcohol withdrawal Suspicion of abuse Substance abuse Alcoholism and gallstones 3 of 62 Term Your patient is admitted from the ED for syncope for a ground level fall. You note their heartrate is 50 and they are confused. Their child states they think your patient has dementia but hasnot been diagnosed yet. Patient's blood pressure is stable. What order do you expect? Place peripheral Iv Airborne isolation Precautions Stat head CT Oxygen per nasal cannula 4 of 62 Term Your patient is on anticoagulant medication. You are discharging them and provide patienteducation. Which statement by your patient indicates an understanding of the education? Nonsteroidal anti-inflammatory medications No changes. These are high quality compressions. Notify provider and prepare for a CT scan. I will not take ibuprofen (Motrin®) every day 5 of 62 Term What would be your BEST method for dressing a venous stasis ulcer? Correct fluid deficit and replace potassium. Use gauze wrap covered by a compression bandage Perform a daily assessment of line necessity. • Bradycardia • Widened pulse pressure • Hypotension (Wrong) • Hypertension 6 of 62 Term Your patient is on the midday schedule for hemodialysis. They have 100 mg metoprolol XL(Toprol®) ordered for this morning. Their blood pressure is 150/98. What would be your MOSTappropriate action? I will not take ibuprofen (Motrin®) every day Hold the metoprolol because of the upcoming dialysis. I cannot wait to get back to riding my horse. Apply manual pressure to the site and call for help. 7 of 62 Term Your patient reports chest pain. Which lab orders would you anticipate the provider ordering? Myoglobin Ck-mb Troponin Tropomyosin 8 of 62