Progressive Care Rn A 2024 Questions And Answers

PROGRESSIVE CARE RN A 2024
QUESTIONS AND ANSWERS
bv



Youbvwantbvtobvassessbvforbvjugularbvveinbvdistentionbv(JVD).bvWhatbvpositionbvwouldbvbebv
BEST?bv-bvanswer--
Positionbvpatientbvonbvtheirbvbackbvwithbvheadbvofbvbedbvatbv30bvtobv45bvdegrees.

Yourbvpatientbvwithbvtriplebvcardiacbvbypassbvsurgerybvisbvpost-
opbvdaybv3.bvChestbvtubesbvhavebvbeenbvremoved.bvTheybvsuddenlybvreportbvpalpitations.b
vTheirbvbloodbvpressurebvisbv130/76bvandbvheartbvratebvisbv140bvbpm.bvWhatbvwouldbvyoubvd

obvNEXT?bv-bvanswer--PerformbvabvbedsidebvEKG

Yourbvpatientbvhasbvabvhistorybvofbvrenalbvinsufficiency.bvWhatbvclassbvofbvanalgesicsbvwoul
dbvMOSTbvlikelybvbebvcontraindicatedbvforbvthem?bv-bvanswer--Nonsteroidalbvanti-
inflammatorybvmedications

Yourbvpatientbvisbvacutelybvill.bvWhatbvroutebvofbvmedicationbvadministrationbvwouldbvlikelyb
vbebvLEASTbveffective?bv-bvanswer--Intramuscular



Youbvarebvworkingbvwithbvthebvcodebvteambvtobvresuscitatebvabvpatientbvinbvventricularbvfibril
lation.bvChestbvcompressionsbvarebvongoingbvandbvthebvpatientbvhasbvbeenbvshockedbvtwi
ce.bvWhatbvemergencybvmedication,bvifbvany,bvwouldbvyoubvadministerbvatbvthisbvjuncture?
bv-bvanswer--Epinephrine bv(Adrenaline)bv1bvmgbvIV



Yourbvpatientbvisbvonbvanticoagulantbvmedication.bvYoubvarebvdischargingbvthembvandbvpro
videbvpatientbveducation.
Whichbvstatementbvbybvyourbvpatientbvindicatesbvanbvunderstandingbvofbvthebveducation?
bv-bvanswer--Ibvwillbvnotbvtakebvibuprofenbv(Motrin®)bveverybvday



Yourbvnon-
verbalbvpatientbvisbvalert.bvWhatbvtypebvofbvpainbvassessmentbvwouldbvbebvappropriate?bv-
bvanswer--•bvVisualbvpainbvscale

•bvVerbalbvdescriptivebvscale
•bvVitalbvsignsbvassessmentbvtobvapproximatebvpain
•bvBehavioralbvpainbvscalebv(Wrong)

Yourbvpatientbvhasbvreturnedbvfrombvthebvcathbvlabbvpostbvangioplasty.bvUponbvassessmen
tbvyoubvnotebvabvlargebvhematomabvatbvthebvsheathbvsite.bvWhatbvwouldbvbebvyourbvimmedia
tebvaction?bv-bvanswer--Applybvmanualbvpressurebvtobvthebvsitebvandbvcallbvforbvhelp.

Yourbvpatientbvhasbvnewbvonsetbvseizures.bvTheybvaskbvyoubvwhatbvtheybvshouldbvknowbva
boutbvtakingbvlevetiracetambv(Keppra®).bvWhatbvwouldbvbebvyourbvBESTbvresponse?bv-
bvanswer--Commonbvsidebveffectsbvarebvfatiguebvandbvdepression

, Yourbvpatientbvwithbvcardiacbvbypassbvsurgerybvisbvpost-
opbvdaybv2.bvThebvnursingbvassistantbvreportsbvthatbvyourbvpatientbvhasbvabvtempbvofbv101.3
°Fbvandbvbloodbvpressurebvofbv82/56.bvTheirbvurinebvoutputbvhasbvdecreasedbvtobvlessbvtha
nbv30bvmLbvinbvthebvpastbv4bvhours.bvYoubvsuspectbvabvpost-
surgerybvcomplication.bvAfterbvcallingbvthebvphysicianbvyoubvreceivebvordersbvforbvSTATbv
CBC,bvCMP,bvandbvcoagulationbvtest.bvWhatbvresultsbvwouldbvyoubvexpectbvtobvseebvafterbv
thesebvlabsbvarebvcompleted?bv-bvanswer--WBCbvgreaterbvthanbv19,000

Whatbvisbvanbvadequatebvamountbvofbvurinebvoutput?bv-bvanswer--30bvmL/hr

Yourbvpatientbvhasbvleftbvventricularbvfailure.bvWhatbvclinicalbvmanifestationsbvwouldbvyoubv
expectbvtobvsee?bv-bvanswer--Dyspnea,bvdistantbvheartbvsounds,bvbilateralbvcrackles

Youbvarebvcaringbvforbvyourbvpatientbvwithbvanbvorderbvforbvfurosemidebv(Lasix®)bv80bvmgbv
BID.bvWhatbvwouldbvbebvyourbvMOSTbvappropriatebvaction?bv-bvanswer--
Callbvproviderbvtobvclarifybvthebvorder.

Yourbvpatientbvisbvinbvcardiacbvarrest.bvChestbvcompressionsbvarebvbeingbvperformed.bvCa
pnographybvindicatesbvthebvend-
tidalbvCO2bvisbv18bvmmg.bvWhatbvdobvthebvcapnographybvresultsbvindicatebvaboutbvthebvch
estbvcompressions?bv-bvanswer--
Nobvchanges.bvThesebvarebvhighbvqualitybvcompressions.

Whatbvisbvrequiredbvbeforebvmakingbvabvreportbvofbvelderbvabuse?bv-bvanswer--
Suspicionbvofbvabuse

YoubvreceivebvyourbvpatientbvwithbvpneumoniabvfrombvthebvED.bvAntibioticsbvandbvsteroidsb
vhavebvbeenbvinitiatedbvbybvthebvprovider.bvThebvpatientbvreportsbvabdominalbvpainbvandbvh

asbvabvlargebvloosebvbowelbvmovement.bvTheybvinformbvyoubvthisbvisbvtheirbvthirdbvbowelbvm
ovementbvinbvthebvlastbvtwobvhours.bvWhatbvwouldbvyoubvdobvFIRST?bv-bvanswer--
InitiatebventericbvcontactbvisolationbvprecautionsbvforbvpossiblebvC.bvdiff

Yourbvpatientbvhasbvdevelopedbvsepsisbvfrombvanbvindwellingbvurinarybvcatheter.bvWhatbvw
ouldbvbebvyourbvPRIORITYbvintervention?bv-bvanswer--Removebvcatheter.

Yourbvpatientbvisbvinbvthirdbvdegreebvheartbvblock.bvWhatbvtreatmentbvwouldbvyoubvMOSTbvli
kelybvexpectbvtobvbebvimplemented?bv-bvanswer--Pacemaker

Whatbvarebv2bvnursingbvinterventionsbvtobvpreventbvvenousbvthromboembolism?bv-
bvanswer--•bvAdequatebvhydrationbvandbvearlybvmobilization.

•bvHemodynamicbvmonitoringbvandbvearlybvmobilization.bv(Wrong)
•bvAdequatebvhydrationbvandbvencouragingbvabvsteadybvamountbvofbvgreenbvleafybvvegeta
blesbvinbvdiet.
•bvHemodynamicbvmonitoringbvandbvencouragingbvabvsteadybvamountbvofbvgreenbvleafybvv
egetablesbvinbvdiet.

Yourbvpatientbvisbvpostbvleftbvpneumonectomy.bvTheybvhavebvabvchestbvtubebvinbvplacebvforb
vdrainage.bvWhatbvwouldbvbebvabvPRIORITYbvinbvyourbvcare?bv-bvanswer--

Encouragebvpatientbvtobvcoughbvandbvdeepbvbreathe