Critical Care Exam 1 Questions with correct 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 CORRECT 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 tempe CORRECT ANSWER 4 Cellulitis is serious infection, involving swelling of subcutaneous tissue, fluid displacement due to 3rd spacing. What else would you assess?