Relias Emergency Department RN A – Verified Questions and Detailed Answers

Relias Emergency Department RN A – Verified Questions and Detailed Answers Under what circumstances can the hospital transfer an unstable patient to another facility and maintain compliance with the Emergency medical treatment and active labor act (EMTALA)? - ANSWER -the necessary treatment is not available at the current hospital. What is the appropriate intervention for patients with acute respiratory distress syndrome (ARDS)? - ANSWER -mechanical ventilation What is a common assessment finding in a patient with a tension pneumothorax? - ANSWER -distended neck veins During cardiogenic shock, what temporary intervention might be ordered to improve perfusion until definitive treatment is provided? - ANSWER -inotropic infusion Acute deficiency of cortisol and aldosterone can lead to what severe life threatening condition? - ANSWER -adrenal crisis What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest? - ANSWER -1 mg every 3-5 minutes A patient presents to the lobby stating she thinks she is in active labor. Your facility doesn't have a labor and delivery unit. What is the next action you would take? - ANSWER -have an ED provider perform a medical screening exam to determine if she is in active labor. A patient who is suspected of having hyperkalemia is most likely to have what ECG changes? - ANSWER -Tall, peaked T waves A patient with a history of chronic alcohol use is brought in with possible esophageal varices. What medication is used to stop under gastrointestinal (GI) bleeding is patients with this condition? - ANSWER -Octreotide (Sandostatin) What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal? - ANSWER -Benzodiazepines You are administering haloperidol (Haldol) to a patient with acute symptoms of Schizophrenia. What changes in the electrocardiogram (ECG) are possible as a result of this medication? - ANSWER -Prolonged QT interval A patient with a traumatic brain injury (TBI) is most likely to suffer from what condition? - ANSWER -Diabetes Insipidus A confused patient is trying to grasp at their IV with their right hand. Which is the LEAST restrictive measure to maintain patient safety? - ANSWER -Safety "mitt" for right hand only A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing intervention? - ANSWER -maintaining airway and breathing What symptom is commonly seen in patients with alcohol withdrawal? - ANSWER -Tachycardia A patient arrives with acute onset of central chest pain. The patient is tachycardic and tachypneic and appears very anxious and restless. What would be the most important initial intervention for this patient? - ANSWER -administer oxygen What is the critical goal time from arrival to the ED to CT brain scan based on the American Heart Association stroke recommendations? - ANSWER -25 minutes A patient is complaining of a burning sensation in both eyes with pain, redness, swelling and purulent discharge. The visual assessment using the Snellen chart reveals no changes in vision. You anticipate that the patient has signs and symptoms of: - ANSWER -Conjunctivitis You are caring for a patient who has a history of alcohol use and seizures. You suddenly notice the patient becoming diaphoretic, anxious, tachycardic and has clammy skin. What would you do NEXT? - ANSWER -Check their blood glucose A patient presents with an acute onset of chest pain and goes into cardiac arrest immediately upon arrival. What is a possible reversible cause of cardiac arrest? - ANSWER -Tension Pneumothorax A patient presents after an intentional overdose of propranolol approximately 2 hours ago. The patient has severe hypotension and bradycardia. IV fluids and vasopressors are initiated. What nursing assessment findings indicate the treatment has been effective? - ANSWER -increasing serum glucose A patient with dementia has a family member with a MPOA, who is unable to be reached. The provider needs a consent signed and allows the patient to sign. What is the most appropriate action you would take? - ANSWER -Report the provider to their supervisor A patient presents with a history of acute urinary retention. An indwelling catheter is placed and the patient is sent for an ultrasound scan. The imaging confirms benign prostatic hyperplasia as the cause of urinary retention. What medication do you anticipate the provider to order? - ANSWER -Tamsulosin (Flomax) A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition correlates with the presenting symptoms? - ANSWER Placenta previa A patient is frustrated at the length of time they have been waiting to be triaged. They start to yell obscenities and threaten you with physical violence. Why would this incident be reported to your supervisor? - ANSWER -You have the right to personal safety in the work environment. A patient presents with a facial burn with significant facial swelling and acute respiratory distress. Based on a 1-4 triage acuity scale with 1 being most critical, what is the appropriate category based on the patient presentation? - ANSWER -1 Upon triage of a patient, they state that they have suicidal ideation with intent. What would you do next? - ANSWER -Institute suicide precautions You accidentally administered epinephrine 1:1000 intravenous push for a patient suffering from a severe anaphylactic reaction. You recognize this as a near-miss event and report this: - ANSWER -internally, per policy through the defined incident reporting system A patient presents with an episode of hypertensive crisis, a blood pressure of 220/118, and the provider has put in the order for nitroprusside. What demonstrates that the treatment has been effective? - ANSWER -Systolic blood pressure reaches 160 mmHg.