RN PROGRESSIVE CARE –CORRECTLY ANSWERED –LATEST STUDY GUIDE
You are educating your patient about reducing sodium intake. You know that the patient
... [Show More] understands when they make the statement:
"I will avoid canned food because it's salty"
The trough for vancomycin is measured:
Immediately before the next scheduled dose
You are delegating wound care to a LPN. The LPN states that she has never performed this type of wound care before. Which of the following components of delegation have you neglected?
Competency
You are caring for a patient in third degree heart block. Which of the following treatment options will MOST likely be implemented?
Pacemaker
You are assigned a patient who recently traveled outside of the United States. He has a fever of 101.9 F and excessive diarrhea. You suspect he may have been exposed to Ebola. What type of PPE would you expect to use?
High level PPE
Which of the following patients would you see FIRST?
A 57 year old male complaining of worsening chest tightness
You enter a patient's room and notice the telemetry box on the bed and the IV on the floor connected to running IV fluids. You last saw the patient 1 hour ago. Who should be notified immediately?
Charge nurse
A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF. Two hours after admission you notice the patient now has ST elevation in each of those leads. What should you do NEXT?
Initiate STEMI team
An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She has a 22 gauge peripheral IV in her left hand and is due to void. She had morphine 8mg and Zofran 4mg in recovery, and is complaining of nausea. She has Phenergan 50mg ordered IV every 6 hours/PRN. What should you do FIRST?
Start a new IV in the antecubital region or obtain an order for Phenergan IM.
A patient is on strict I&Os with an indwelling urinary catheter. 4 hours into your shift you notice that there is a total of 50 mL of urine in the bag. You notify the provider because you recognize that adequate urine output should be:
30 mL/hr
A co-worker administered a narcotic earlier in the shift, but failed to get a witness for the portion of medication that was wasted. The co-worker asks that you sign off as the witness. What is the BEST response?
Refuse to witness the waste and ask the co-worker to notify the charge nurse
You are caring for a patient taking warfarin for atrial fibrillation. The lab calls reporting that the patient has an INR of 6.4. What medication do you anticipate being ordered by the provider?
Vitamin K
You are caring for a patient complaining of chest pain. Which of the following troponin I levels requires provider notification?
0.5 ng/mL
A patient with new onset seizures is most likely to have which of the following in their room?
Padded side rails and suction at the bedside
You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into the transfusion, the patient complains of lower back pain, shortness of breath, and chills. Which of the following would you do FIRST?
Stop the transfusion
You receive a patient from the emergency department with a fever, cough for 3 weeks, night chills, and fatigue. During the admission assessment the patient reports recent travel out of the country. What should be your FIRST action?
Notify the provider, apply a mask to the patient, and transfer to a negative pressure room
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