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Which of the following medications is MOST commonly indicated for patients with CHF?
- correct answer. Ace inhibitors
A patient was involved in a motor vehicle accident and CAT scan results reveal a right
sided SDH. What would be an expected neurological assessment finding in this patient?
- correct answer. Dilated right pupil
What is the most common symptom of SIADH? - correct answer. Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should
you attend to FIRST? - correct answer. A patient complaining of shortness of
breathe on continuous BiPAP with a BP of 189/109
Of the following patients, which one would you see FIRST? - correct answer. A 30
year suicidal female that took an unknown number of alprazolam with an O2 saturation
of 85%
You are caring for a patient with new onset atrial fibrillation with a blood pressure of
80/60. Which of the following treatment options is MOST appropriate? - correct answer.
Electrical cardioversion
Which of the following supplemental medications is frequently ordered in conjunction
with furosemide? - correct answer. Potassium
Which of the following positions is the BEST way to assess for JVD? - correct answer.
Position the patient on his/her back with the head of bed 30-45 degrees
, Your patient is on the midday schedule for hemodialysis. He has 100 mg of metoprolol
XL ordered for this morning and his blood pressure if 150/98. Which of the following
would be an appropriate action? - correct answer. Hold the metoprolol because of
the upcoming dialysis
You walk into your patient's room and notice that the chest tube collection chamber has
been knocked over on the floor. There appears to be drainage dispersed throughout the
chambers. What should you do NEXT? - correct answer. Replace the chamber with
a new one
Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is
89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is this
patient most likely experiencing? - correct answer. Hypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the
following would you do FIRST? - correct answer. Cover the insertion site
immediately with Vaseline gauze
A 78 year old male is admitted from the ED for syncope with ground level fall. You note
his heart rate is 50 and the patient is confused. His daughter states she thinks he has
dementia but he has not been diagnosed yet. Blood pressure is stable. What order do
you anticipate? - correct answer. Stat head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders
should you do FIRST? - correct answer. Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - correct
answer. Apical pulse
A patient with a history of acute seizure activity of unknown etiology is admitted to the
PCU from the ED. Which of the following orders would you expect to receive from the
admitting provider? - correct answer. Levetiracetam (Keppra) 500 mg IV every 12
hours and seizure precautions
You are caring for a patient post left pneumonectomy with a chest tube in place for
drainage. Which of the following is a priority in caring for this patient? - correct answer.
Encourage the patient to cough and deep breathe
You are caring for a patient with an order for "furosemide 80 mg BID". Which of the
following actions is the MOST appropriate? - correct answer. Call the provider to
clarify the order
You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient goes
into cardiac arrest and the patient's daughter states "Do whatever you can to save my
dad." Which of the following is the BEST response? - correct answer. Follow the
patient's wishes and honor the DNR