PROPHECY EMERGENCY DEPARTMENT RN A study guide

The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of acid imbalance does he have. - Metabolic Acidosis Common complications of massive transfusions are - Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis Long term use of TPN may lead to: - Liver Failure Which of the following is a potential complication of high PEEP - Pneumothorax What is a common assessment finding for a patient returning from a small bowel resection? - Hypoactive bowel sounds Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the following would you suspect. - A)*WRONG* Hypoxemia B) *Wrong * Acute MI C) Panic Attack D) Hypoglycemia The staff nurse asks the nursing assistant to check on a patient. The nursing assistant reports back that the patient is experiencing chest pain and is diaphorectic. Which of the following can the staff nurse delegate to the assistant? - A) *WRONG* Calling the physician B) *Wrong* Gathering vitals and assessing the cause for the change in status C) Informing the charge nurse that a patient needs attention D) Obtaining a medication for the nurse to administer to the patient Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a candy bar and begins to choke. The physician is unable to clear the airway. You would expect to prepare for which of the following. emergency procedures? - C) Tracheostomy The initial insulin therapy for a patient with acute DKA is usually administered by which route - Intravenous bolus followed by a continuous infusion Screening tests for DIC include: - D-Dimer and FDPs Which of the following hormones is secreted by the hypothalamus in an effort to regulate water balance? - ADH Which of the following IV sedatives would most likely be ordered for a non-intubated patient? - Precedex Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they become dyspneic and bradycardic with excessive salivation. What do you suspect happened? - Aspiration Which of the following is a response of the cardiovascular system to early sepsis? - Increased cardiac output and reduced systemic vascular resistance Which patient would you expect to be extubated? - Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5 Your patient is in a Hypertensive crisis. What medication can you expect the doctor to order. - Nicardipine Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in the urinary catheter tubing and decreased urinary output. Which of the following conditions would you suspect? - Rhabdomyolysis