You are the day-shift supervisor for a respiratory care department in a 375-bed medical center. You
arrive early to create today's assignments for the day-shift therapists when you are paged to the 3-North
nurses' station.
Upon arriving at the nurses' station, the night shift therapist informs you that Dr. Kneel has ordered
aerosol treatments for a recently admitted patient QID. The therapist also informs you that Dr. Kneel's
order specifies administering levalbuterol along with albuterol. You confirm this order in the chart. You
would do which of the following?
Change the order to levalbuterol only.
Change the order to albuterol only.
Call your medical director to modify the order.
Call Dr. Kneel to discuss the order.
Administer the treatment as ordered. ✔️✔️inappropriate order. combined 2 drugs are the same
category.
Call Dr. Kneel to discuss the order.
Done.
The RC Services Director calls Dr. Kneel to discuss the order. Dr. Kneel again responds that the patient is
severely ill and needs the effects of both drugs. The director tells you that Dr. Kneel does not want to
change the order. The director tells you to handle the situation. You would now choose which of the
following?
Administer the treatment as ordered.
Change the order to levalbuterol only.
Change the order to albuterol only.
Call the medical director.
Call the hospital administrator. ✔️✔️Call the medical director for the dept..(next in chain of
command)
Done.
, The medical director says he will contact Dr. Kneel to discuss the situation.
You now receive a request to go to the Emergency Department. Upon entering the ED, you are asked to
assess the cardiopulmonary status of the child in Room A. You would choose to evaluate which of the
following?
History
Age
Complete blood count
Breath sounds
Temperature
Chest inspection
Weight
Physical appearance
Electrolytes
Chest x-ray
Urine culture
Capillary blood gas
Blood culture
Throat culture
Respiratory rate
Lateral neck x-ray
Heart rate
Color
Blood pressure ✔️✔️Ending one problem and starting a new one.
look at pt and take their pulse.
Level 1 assessment
(1)Age-4 years old
(1)Respiratory rate-40 per minute
(1)Color-Pale
(1)Heart rate-118 beats per minute