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Which of the following has been found to be linked to a diagnosis of endocarditis?
- ANSWER--Recent invasive dental procedures
Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been removed. The
patient suddenly complains of palpitations. His blood pressure is 130/76 and heart rate is 140
bpm. What would you do NEXT? - ANSWER-- Immediately perform a bedside EKG
What abnormal heart sound would you expect to hear in a patient with mitral stenosis? -
ANSWER--Diastolic murmur
You are performing auscultation on your patient and note an absence of breath sounds in the
right lower lobe. Which of the following would you suspect? - ANSWER--Pneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? - ANSWER--Correct
fluid deficit and replace potassium
You receive an 84 year old patient from the ED with pneumonia. Antibiotics and steroids have
already been initiated by the provider. The patient complains of abdominal pain and has a
large, loose bowel movement and notifies you this is the third one. What should you do FIRST?
- ANSWER--Initiate contact isolation precautions for possible C. difficile
You have completed a blood transfusion and are unsure of how to dispose of the empty bag.
What should you do? - ANSWER--Locate the MSDS book to find policy and procedures
, Which of the following is an early indication of a stroke? - ANSWER--Ptosis
Which of the following are clinical manifestations typically seen in a patient with left ventricular
failure? - ANSWER--Dyspnea/peripheral edema/JVD or Dyspnea/distant heart sounds/bilateral
crackles???
A patient is admitted to the PCU with COPD exacerbation. Which of the following assessment
findings would you expect to find knowing that the patient has been taking prednisone 40 mg
PO once daily for 18 years? - ANSWER--Hyperglycemia
A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a
suicide attempt the previous shift and states "I want to die because I am being bullied at
school." Which of the following is the MOST important action? - ANSWER--Place the patient on
suicide precautions to prevent a second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10 mg/hour. The vial
of diltiazem contains 5mg/mL. Which of the following is the correct volume to add to the bag of
D5W? - ANSWER--25 mL
The provider has ordered a 24-hour urine collection for your patient. The patient voids 275 cc, 2
hours after the order is given. This specimen should be: - ANSWER--Discarded, then begin
collection with the next void
What acid-base imbalance would you expect to see in a patient with an acute kidney injury? -
ANSWER--Metabolic acidosis