PROGRESSIVE CARE RN A V1 EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

Your patient is on the midday schedule for hemodialysis. He has 100 mg of metoprolol XL ordered for this morning and his blood pressure if 150/98. Which of the following would be an appropriate action? - ANSWERSHold the metoprolol because of the upcoming dialysis You walk into your patient's room and notice that the chest tube collection chamber has been knocked over on the floor. There appears to be drainage dispersed throughout the chambers. What should you do NEXT? - ANSWERSReplace the chamber with a new one Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is 89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is this patient most likely experiencing? - ANSWERSHypovolemic shock You are caring for a patient with a chest tube that has become dislodged. Which of the following would you do FIRST? - ANSWERSCover the insertion site immediately with Vaseline gauze A 78 year old male is admitted from the ED for syncope with ground level fall. You note his heart rate is 50 and the patient is confused. His daughter states she thinks he has dementia but he has not been diagnosed yet. Blood pressure is stable. What order do you anticipate? - ANSWERSStat head CT A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should you do FIRST? - ANSWERSPrepare to administer 2 units PRBCs Which of the following should be checked before administering digoxin? - ANSWERSApical pulse A patient with a history of acute seizure activity of unknown etiology is admitted to the PCU from the ED. Which of the following orders would you expect to receive from the admitting provider? - ANSWERSLevetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions You are caring for a patient post left pneumonectomy with a chest tube in place for drainage. Which of the following is a priority in caring for this patient? - ANSWERSEncourage the patient to cough and deep breathe You are caring for a patient with an order for "furosemide 80 mg BID". Which of the following actions is the MOST appropriate? - ANSWERSCall the provider to clarify the order You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient goes into cardiac arrest and the patient's daughter states "Do whatever you can to save my dad." Which of the following is the BEST response? - ANSWERSFollow the patient's wishes and honor the DNR You are educating your patient about reducing sodium intake. You know that the patient understands when they make the statement: - ANSWERS"I will avoid canned food because it's salty" The trough for vancomycin is measured: - ANSWERSImmediately before the next scheduled dose You are delegating wound care to a