CriticalfCarefExamf1fQuestions
Youfhavefjustfreceivedfchangefoffshiftfreport.fWhichfpatientfshouldfyoufass
essffirst?
a.f62fyear-
oldfmanfwhofisfscheduledfforfafcardiacfcath,fandfisfreadyftofbeftransportedfn
ow
b.f58fyear-
oldfwomanfwithfCOPDfwithfanfO2fsaturationfoff92%fonf2flitersfoffO2,fwhof
isfscheduledftofbefdischargedfhomefonfO2
c.f36fyear-
oldfmanfadmittedfwithfanfexacerbationfoffasthmafwithfRRf36fatfrest,fandfwh
osefwheezingfhasfdiminished
d.f72fyear-
oldfwomanfwithfhistoryfoffasthmafwithfHRf90fandfisfduefforfherfbeta-
blockerf-fCORRECTfANSWER✔C
RRf36fandfdiminishedfwheezingfindicativefoffrespiratoryfdistressfandfneed
sfpromptfattention
Youfarefaboutftofhandoverfpatientfcareftofyourfon-
comingfnursefcolleague.fWhichfpatientfrequiresfthefmostfimmediatefattenti
on?
1.)f62fyear-
oldfmanfwithfCOPDfwhofhasfjustfcompletedfhisfscheduledfbronchodilatorf
2.)f68fyear-oldfwomanfwithftypef2fdiabetesfwhofhadfCVAf2fdaysfago
,3.)f72fyear-
oldfwomanfwithfhistoryfoffasthmafwithfHRf90fandfisfduefforfherfbeta-
blocker
4.)f48fyear-
oldfmanfadmittedfwithfcellulitisfoffhisfrightfhandfafterfafconstructionfaccide
nt,fcurrentlyfonfIVfantibiotics,fwithfaftemperaturefoff101.8f-
fCORRECTfANSWER✔4
Cellulitisfisfseriousfinfection,finvolvingfswellingfoffsubcutaneousftissue,ffl
uidfdisplacementfdueftof3rdfspacing.fWhatfelsefwouldfyoufassess?
Youfarefassignedftofcarefforfaf58fyear-
oldfmanfwhofisfscheduledfforfafcardiacfangiogramfduringfyourfshift.fWhatfa
ctionsfshouldfyouftake?fCheckfallfthatfapply.
1-Explainfthatfthefpatientfwillfreceivefshort-actingfanesthesia
2-
Reviewfthefpatient'sfallergies,fspecificallyfcheckingftofseefiffhefhasfanfaller
gyftofcontrastfdye
3-
Informfthefpatientfthatfhisfwifefshouldfstayfatfhomefuntilfthefprocedurefisffi
nished,fasffamilyfmembersfoftenfdistractfthefteamfinfthefcathflab
4-
Reviewfandfreconcilefhisfmedications.fConfirmfthatfhefdidfnotftakefhisfwarf
arin
5-
Checkfthefpatient'sfmostfrecentflabsfpayingfparticularfattentionftofthefPTfIN
Rf-fCORRECTfANSWER✔2,f4,f5
, Contrastfdyesfcontainfiodinefandfallergyfcouldfleadftofanaphylacticfrespons
e;fmightfreceiveflightfsedationfbutfneedsftofbefawakefandfableftoffollowfdire
ctions
Af62fyear-
oldfman,fwhofisfs/
pfcoronaryfarteryfbypassfsurgery,fisfaboutftofbeftransferredffromfthefICUftof
thefcardiacfstepdownfunit.fWhatfisfthefmostfeffectivefwayfforfthefICUf(repo
rting)fnursefandfcardiacfstepdownf(receiving)fnurseftofensurefthatfessentialf
patientfinformationfisfconveyed?
1-fAfface-to-facefverbalfreportfwithfbothfnursesfpresentfinfafquietfroom
2-fThefICUfnursefwillfprovidefanfaudio-
recordedfreportfforffuturefreferencefandfdocumentation
3-
fThefICUfnursefwillfdocumentfessentialftransferfinformation finfthefpatient's f
medicalfrecord
4-
fThefICUfnursefwillfaccompanyfthefpatientftofthefstepdownfunitfandfprovid
efafface-to-facefreport,fusingfafunit-approved,fstandardizedfguidef-
fCORRECTfANSWER✔4
Whatfisfthefmostfcommonfoutcomefassociatedfwithfpoorlyfmanagedfhospit
alfdischarge?f-fCORRECTfANSWER✔AdversefDrugfevents
Thefnursefisftrackingfdatafonfafgroupfoffpatientsfwithfheartffailure,fwhofhav
efbeenfdischargedffromfthefunitfwherefyoufworkfandfarefnowfbeingffollowe
dfinfclinic.fWhatfisfthefbestfindicatorfthatfthefnursingfinterventionsfoffmonit
oringfandfteachingfhavefbeenfeffective?
Youfhavefjustfreceivedfchangefoffshiftfreport.fWhichfpatientfshouldfyoufass
essffirst?
a.f62fyear-
oldfmanfwhofisfscheduledfforfafcardiacfcath,fandfisfreadyftofbeftransportedfn
ow
b.f58fyear-
oldfwomanfwithfCOPDfwithfanfO2fsaturationfoff92%fonf2flitersfoffO2,fwhof
isfscheduledftofbefdischargedfhomefonfO2
c.f36fyear-
oldfmanfadmittedfwithfanfexacerbationfoffasthmafwithfRRf36fatfrest,fandfwh
osefwheezingfhasfdiminished
d.f72fyear-
oldfwomanfwithfhistoryfoffasthmafwithfHRf90fandfisfduefforfherfbeta-
blockerf-fCORRECTfANSWER✔C
RRf36fandfdiminishedfwheezingfindicativefoffrespiratoryfdistressfandfneed
sfpromptfattention
Youfarefaboutftofhandoverfpatientfcareftofyourfon-
comingfnursefcolleague.fWhichfpatientfrequiresfthefmostfimmediatefattenti
on?
1.)f62fyear-
oldfmanfwithfCOPDfwhofhasfjustfcompletedfhisfscheduledfbronchodilatorf
2.)f68fyear-oldfwomanfwithftypef2fdiabetesfwhofhadfCVAf2fdaysfago
,3.)f72fyear-
oldfwomanfwithfhistoryfoffasthmafwithfHRf90fandfisfduefforfherfbeta-
blocker
4.)f48fyear-
oldfmanfadmittedfwithfcellulitisfoffhisfrightfhandfafterfafconstructionfaccide
nt,fcurrentlyfonfIVfantibiotics,fwithfaftemperaturefoff101.8f-
fCORRECTfANSWER✔4
Cellulitisfisfseriousfinfection,finvolvingfswellingfoffsubcutaneousftissue,ffl
uidfdisplacementfdueftof3rdfspacing.fWhatfelsefwouldfyoufassess?
Youfarefassignedftofcarefforfaf58fyear-
oldfmanfwhofisfscheduledfforfafcardiacfangiogramfduringfyourfshift.fWhatfa
ctionsfshouldfyouftake?fCheckfallfthatfapply.
1-Explainfthatfthefpatientfwillfreceivefshort-actingfanesthesia
2-
Reviewfthefpatient'sfallergies,fspecificallyfcheckingftofseefiffhefhasfanfaller
gyftofcontrastfdye
3-
Informfthefpatientfthatfhisfwifefshouldfstayfatfhomefuntilfthefprocedurefisffi
nished,fasffamilyfmembersfoftenfdistractfthefteamfinfthefcathflab
4-
Reviewfandfreconcilefhisfmedications.fConfirmfthatfhefdidfnotftakefhisfwarf
arin
5-
Checkfthefpatient'sfmostfrecentflabsfpayingfparticularfattentionftofthefPTfIN
Rf-fCORRECTfANSWER✔2,f4,f5
, Contrastfdyesfcontainfiodinefandfallergyfcouldfleadftofanaphylacticfrespons
e;fmightfreceiveflightfsedationfbutfneedsftofbefawakefandfableftoffollowfdire
ctions
Af62fyear-
oldfman,fwhofisfs/
pfcoronaryfarteryfbypassfsurgery,fisfaboutftofbeftransferredffromfthefICUftof
thefcardiacfstepdownfunit.fWhatfisfthefmostfeffectivefwayfforfthefICUf(repo
rting)fnursefandfcardiacfstepdownf(receiving)fnurseftofensurefthatfessentialf
patientfinformationfisfconveyed?
1-fAfface-to-facefverbalfreportfwithfbothfnursesfpresentfinfafquietfroom
2-fThefICUfnursefwillfprovidefanfaudio-
recordedfreportfforffuturefreferencefandfdocumentation
3-
fThefICUfnursefwillfdocumentfessentialftransferfinformation finfthefpatient's f
medicalfrecord
4-
fThefICUfnursefwillfaccompanyfthefpatientftofthefstepdownfunitfandfprovid
efafface-to-facefreport,fusingfafunit-approved,fstandardizedfguidef-
fCORRECTfANSWER✔4
Whatfisfthefmostfcommonfoutcomefassociatedfwithfpoorlyfmanagedfhospit
alfdischarge?f-fCORRECTfANSWER✔AdversefDrugfevents
Thefnursefisftrackingfdatafonfafgroupfoffpatientsfwithfheartffailure,fwhofhav
efbeenfdischargedffromfthefunitfwherefyoufworkfandfarefnowfbeingffollowe
dfinfclinic.fWhatfisfthefbestfindicatorfthatfthefnursingfinterventionsfoffmonit
oringfandfteachingfhavefbeenfeffective?
