Critical Care Exam 1 with Standardized Questions & Conclusively Proved Answers

Critical Care Exam 1 with Standardized Questions & Conclusively Proved Answers You have just received change of shift report. Which patient should you assess first? a. 62 year-old man who is scheduled for a cardiac cath, and is ready to be transported now b. 58 year-old woman with COPD with an O2 saturation of 92% on 2 liters of O2, who is scheduled to be discharged home on O2 c. 36 year-old man admitted with an exacerbation of asthma with RR 36 at rest, and whose wheezing has diminished d. 72 year-old woman with history of asthma with HR 90 and is due for her beta-blocker ANSWER C RR 36 and diminished wheezing indicative of respiratory distress and needs prompt attention You are about to handover patient care to your on-coming nurse colleague. Which patient requires the most immediate attention? 1.) 62 year-old man with COPD who has just completed his scheduled bronchodilator 2.) 68 year-old woman with type 2 diabetes who had CVA 2 days ago 3.) 72 year-old woman with history of asthma with HR 90 and is due for her beta-blocker 4.) 48 year-old man admitted with cellulitis of his right hand after a construction accident, currently on IV antibiotics, with a temperature of 101.8 ANSWER 4 Cellulitis is serious infection, involving swelling of subcutaneous tissue, fluid displacement due to 3rd spacing. What else would you assess? You are assigned to care for a 58 year-old man who is scheduled for a cardiac angiogram during your shift. What actions should you take? Check all that apply. 1-Explain that the patient will receive short-acting anesthesia 2-Review the patient's allergies, specifically checking to see if he has an allergy to contrast dye 3-Inform the patient that his wife should stay at home until the procedure is finished, as family members often distract the team in the cath lab 4-Review and reconcile his medications. Confirm that he did not take his warfarin 5-Check the patient's most recent labs paying particular attention to the PT INR ANSWER 2, 4, 5 Contrast dyes contain iodine and allergy could lead to anaphylactic response; might receive light sedation but needs to be awake and able to follow directions