Exam (elaborations)
Expert Solutions for Progressive Care RN A with Rationale
- Course
- Institution
Expert Solutions for Progressive Care RN A with Rationale
[Show more]
3 reviews
By: alex71 • 4 months ago
By: legittdocument • 5 months ago
By: Aplusplus • 5 months ago
Content preview
1. A patient on warfarin therapy has an INR of 4.5. What is the nurse’spriority intervention?
A. Notify the healthcare provider.
B. Administer vitamin K as prescribed.
C. Hold the next dose of warfarin.
D. Assess the patient for signs of bleeding.
Answer and Rationale:
D. Assess the patient for signs of bleeding.
Rationale: An elevated INR increases the risk of bleeding, and
assessment ensures early detection of complications.
2. A patient is admitted with a potassium level of 6.5 mEq/L. Which
intervention should the nurse implement first?
A. Administer sodium polystyrene sulfonate (Kayexalate).
B. Start an IV infusion of regular insulin and dextrose.
C. Monitor for peaked T waves on the ECG.
D. Administer calcium gluconate IV as prescribed.
Answer and Rationale:
D. Administer calcium gluconate IV as prescribed.
,Rationale: Calcium gluconate stabilizes the cardiac membrane and
prevents arrhythmias, which is the priority in hyperkalemia
management.
3. A progressive care nurse is caring for a patient with sepsis. Which
finding indicates the need for immediate intervention?
A. Blood pressure 90/60 mmHg
B. Heart rate 112 bpm
C. Lactate level 4 mmol/L
D. Temperature 38.5°C (101.3°F)
Answer and Rationale:
C. Lactate level 4 mmol/L
Rationale: A lactate level >2 mmol/L indicates tissue hypoperfusion
and possible organ dysfunction. Prompt interventions are needed to
address underlying sepsis.
4. A patient recovering from a thoracotomy has a respiratory rate of 28
breaths/min and is using accessory muscles to breathe. What is the
nurse’s first action?
A. Increase oxygen delivery.
B. Assess pain level and provide analgesia.
C. Perform a respiratory assessment.
D. Notify the healthcare provider.
, Answer and Rationale:
C. Perform a respiratory assessment.
Rationale: Identifying the underlying cause of respiratory distress is
essential before intervening.
5. A patient develops a sudden drop in SpO2 to 85% while on oxygen at
2 L/min via nasal cannula. What is the nurse’s first action?
A. Increase the oxygen flow rate.
B. Call the Rapid Response Team.
C. Assess airway patency and breath sounds.
D. Prepare for intubation.
Answer and Rationale:
C. Assess airway patency and breath sounds.
Rationale: Assessment is the priority to determine the cause of the
desaturation before taking further action.
6. A patient is receiving high-dose corticosteroids for acute
exacerbation of asthma. Which finding requires immediate action?
A. Blood glucose of 180 mg/dL
B. White blood cell count of 14,000/μL
C. Temperature of 101.5°F (38.6°C)
D. Heart rate of 92 bpm
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DrBidesh. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
40936 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now