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PROGRESSIVE CARE RN A 2024 (RELIAS?) QUESTIONS AND ANSWERS

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PROGRESSIVE CARE RN A 2024 (RELIAS?) QUESTIONS AND ANSWERS

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PROGRESSIVE CARE RN A 2024
(RELIAS?) QUESTIONS AND ANSWERS


Youqwantqtoqassessqforqjugularqveinqdistentionq(JVD).qWhatqpositionqwouldqbeq
BEST?q-qans-
Positionqpatientqonqtheirqbackqwithqheadqofqbedqatq30qtoq45qdegrees.

Yourqpatientqwithqtripleqcardiacqbypassqsurgeryqisqpost-
opqdayq3.qChestqtubesqhaveqbeenqremoved.qTheyqsuddenlyqreportqpalpitations.q
Theirqbloodqpressureqisq130/76qandqheartqrateqisq140qbpm.qWhatqwouldqyouqd
oqNEXT?q-qans-PerformqaqbedsideqEKG

Yourqpatientqhasqaqhistoryqofqrenalqinsufficiency.qWhatqclassqofqanalgesicsqwoul
dqMOSTqlikelyqbeqcontraindicatedqforqthem?q-qans-Nonsteroidalqanti-
inflammatoryqmedications

Yourqpatientqisqacutelyqill.qWhatqrouteqofqmedicationqadministrationqwouldqlikelyq
beqLEASTqeffective?q-qans-Intramuscular

Youqareqworkingqwithqtheqcodeqteamqtoqresuscitateqaqpatientqinqventricularqfibril
lation.qChestqcompressionsqareqongoingqandqtheqpatientqhasqbeenqshockedqtwic
e.qWhatqemergencyqmedication,qifqany,qwouldqyouqadministerqatqthisqjuncture?q-
qans-Epinephrineq(Adrenaline)q1qmgqIV

Yourqpatientqisqonqanticoagulantqmedication.qYouqareqdischargingqthemqandqpro
videqpatientqeducation.
Whichqstatementqbyqyourqpatientqindicatesqanqunderstandingqofqtheqeducation?q-
qans-Iqwillqnotqtakeqibuprofenq(Motrin®)qeveryqday

Yourqnon-
verbalqpatientqisqalert.qWhatqtypeqofqpainqassessmentqwouldqbeqappropriate?q-
qans-•qVisualqpainqscale
•qVerbalqdescriptiveqscale
•qVitalqsignsqassessmentqtoqapproximateqpain
•qBehavioralqpainqscaleq(Wrong)

, Yourqpatientqhasqreturnedqfromqtheqcathqlabqpostqangioplasty.qUponqassessment
qyouqnoteqaqlargeqhematomaqatqtheqsheathqsite.qWhatqwouldqbeqyourqimmedia
teqaction?q-qans-Applyqmanualqpressureqtoqtheqsiteqandqcallqforqhelp.

Yourqpatientqhasqnewqonsetqseizures.qTheyqaskqyouqwhatqtheyqshouldqknowqa
boutqtakingqlevetiracetamq(Keppra®).qWhatqwouldqbeqyourqBESTqresponse?q-
qans-Commonqsideqeffectsqareqfatigueqandqdepression

Yourqpatientqwithqcardiacqbypassqsurgeryqisqpost-
opqdayq2.qTheqnursingqassistantqreportsqthatqyourqpatientqhasqaqtempqofq101.3
°Fqandqbloodqpressureqofq82/56.qTheirqurineqoutputqhasqdecreasedqtoqlessqthan
q30qmLqinqtheqpastq4qhours.qYouqsuspectqaqpost-
surgeryqcomplication.qAfterqcallingqtheqphysicianqyouqreceiveqordersqforqSTATqC
BC,qCMP,qandqcoagulationqtest.qWhatqresultsqwouldqyouqexpectqtoqseeqafterqth
eseqlabsqareqcompleted?q-qans-WBCqgreaterqthanq19,000

Whatqisqanqadequateqamountqofqurineqoutput?q-qans-30qmL/hr

Yourqpatientqhasqleftqventricularqfailure.qWhatqclinicalqmanifestationsqwouldqyouq
expectqtoqsee?q-qans-Dyspnea,qdistantqheartqsounds,qbilateralqcrackles

Youqareqcaringqforqyourqpatientqwithqanqorderqforqfurosemideq(Lasix®)q80qmgq
BID.qWhatqwouldqbeqyourqMOSTqappropriateqaction?q-qans-
Callqproviderqtoqclarifyqtheqorder.

Yourqpatientqisqinqcardiacqarrest.qChestqcompressionsqareqbeingqperformed.qCap
nographyqindicatesqtheqend-
tidalqCO2qisq18qmmg.qWhatqdoqtheqcapnographyqresultsqindicateqaboutqtheqche
stqcompressions?q-qans-Noqchanges.qTheseqareqhighqqualityqcompressions.

Whatqisqrequiredqbeforeqmakingqaqreportqofqelderqabuse?q-qans-
Suspicionqofqabuse

YouqreceiveqyourqpatientqwithqpneumoniaqfromqtheqED.qAntibioticsqandqsteroids
qhaveqbeenqinitiatedqbyqtheqprovider.qTheqpatientqreportsqabdominalqpainqandqh
asqaqlargeqlooseqbowelqmovement.qTheyqinformqyouqthisqisqtheirqthirdqbowelqm
ovementqinqtheqlastqtwoqhours.qWhatqwouldqyouqdoqFIRST?q-qans-
InitiateqentericqcontactqisolationqprecautionsqforqpossibleqC.qdiff

Yourqpatientqhasqdevelopedqsepsisqfromqanqindwellingqurinaryqcatheter.qWhatqw
ouldqbeqyourqPRIORITYqintervention?q-qans-Removeqcatheter.

Yourqpatientqisqinqthirdqdegreeqheartqblock.qWhatqtreatmentqwouldqyouqMOSTqli
kelyqexpectqtoqbeqimplemented?q-qans-Pacemaker

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