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Answers, Distinction Level AssignmentHa
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s everything.
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, Prophecy ICU RN A v1 Exam. b b b b b
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in th
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ePACU. Meperidine is available in 50mg/1ml. How many mililiters should be given?
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- 0.25 mililiters b
Upon inspecting a patient's epidural insertion site, you notice swelling around thecath
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eter. What should you do?
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- A) Position the patient on their side
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B) Place the patient in a prone positio
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nC) Check the epidural line for kinks
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***D) Contact the anesthesia providerb b b b
What set of findings indicates a patient is likely to be ready for phase 1 discharge?
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- A) Has received discharge instructions, pain level 9 out 10, shortness of breath
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B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via f
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acemask b
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremiti
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esD) Fully alert, shallow breathing, on 3 liters via T-
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piece, can move 2 extremities b b b b
What do you consider to be a safe dose of intravenous fentanyl for an adult who doesn
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ot have tolerance to opioids?
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- A) 1.5 miligrams
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***B) 25 micrograms b b
C) 100 microgram b
sD 25 miligrams
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Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate of 120,r
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espiratory rate of 24, is grimacing, restless, and moaning in bed. What medication sh
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ould you prepare to give FIRST?
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- A) 10 mg hydralazine IV push
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***B) 50 mcg fentanyl IV p b b b b b
ushC) 2 mg lorazepam IV pu
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sh D) 5 mg metoprolol IV pu
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sh
You are about to discharge a day surgery patient with aphasia and you discover the fa
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mily members are not available for the discharge instructions and are not respondingt
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o your phone calls. Business hours are over and the PACU is about to close. How will
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you handle the situation?
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- ***A) Wait until the family returns b b b b b
B) Leave the discharge education on voicemail and discharge patient
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, C) Discharge patient with non-emergency transport
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D) Take patient home yourself
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