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You want to assess for jugular vein distention (JVD). What position
would be BEST? ANS >>> Position patient on their back with head of bed
at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. Chest
tubes have been removed. They suddenly report palpitations. Their
blood pressure is 130/76 and heart rate is 140 bpm. What would you do
NEXT? ANS >>> Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics
would MOST likely be contraindicated for them? ANS >>> Nonsteroidal
anti-inflammatory medications
Your patient is acutely ill. What route of medication administration
would likely be LEAST effective? ANS >>> Intramuscular
, You are working with the code team to resuscitate a patient in
ventricular fibrillation. Chest compressions are ongoing and the patient
has been shocked twice. What emergency medication, if any, would you
administer at this juncture? ANS >>> Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging them
and provide patient education.
Which statement by your patient indicates an understanding of the
education? ANS >>> I will not take ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be
appropriate? ANS >>> • Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioural pain scale (Wrong)
Your patient has returned from the Cath lab post angioplasty. Upon
assessment you note a large hematoma at the sheath site. What would
be your immediate action? ANS >>> Apply manual pressure to the site
and call for help.
Your patient has new onset seizures. They ask you what they should
know about taking levetiracetam (Keppra®). What would be your BEST
response? ANS >>> Common side effects are fatigue and depression