Prophecy General ICU RN A v2 updated Summer 2023.

The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of acid imbalance does he have. Common complications of massive transfusions are Long term use of TPN may lead to: Which of the following is a potential complication of high PEEP What is a common assessment finding for a patient returning from a small bowel resection? Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the following would you suspect. - A) Hypoxemia B) 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) Calling the physician B) 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? The initial insulin therapy for a patient with acute DKA is usually administered by which route Screening tests for DIC include: Which of the following hormones is secreted by the hypothalamus in an effort to regulate water balance? Which of the following IV sedatives would most likely be ordered for a non-intubated patient? 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? Which of the following is a response of the cardiovascular system to early sepsis? - Which patient would you expect to be extubated? Your patient is in a Hypertensive crisis. What medication can you expect the doctor to order. 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? Which class of drugs should be avoided in patients with asthma? The CAM-ICU assessment is a measure for which condition? Which of the following drugs would you expect to administer in a patient diagnosed with myasthenia gravis? Interpret the following: ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L When assessing a chest tube, which of the following indicates a possible air leak - Which of the following medications improves contractility, increases stroke volume, and increases cardiac output? Muffled heart sounds would indicate what condition? Pain assessment in an unconscious patient Which of the following tests should be performed prior to administering tPA Which of the following classes of drugs are used in an effort to therapeutically decrease venous return and reduce peripheral vascular resistance? Identify the type of renal failure that results from bilateral obstruction of urine outflow A patient exhibits hypotension without an increase in HR is indicative of - Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and coumadin. Which medication would you hold for a blood pressure of 80/50? - A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin, confusion, and agitation, BP 80/40, HR 145. What type of shock is this? - The patient is admitted with suspected Guillain-Barre syndrome. The nurse would expect CSF analysis to reveal which of the following to confirm the diagnosis? - Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the following should the nurse observe for during the assessment? - The Central Venus Pressure (CVP) measures the pressure in the - Which lab value is used to determine the severity of sepsis Which of the following hormones is secreted by the thyroid gland? - An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which diagnosis? - The most common cause for the patient to file a nursing negligence claim is - Which of the following medications is a paralytic - Ninety percent of thrombi develop in which area of the body? - Which of the following medications is usually the first to be administered during status epilepticus Your patient's BP on admission was 110/40, and Hgb was 10.5. The BP is now 80/50 and pt is vomiting coffee ground emesisi. You expect Hgb to be: You note the appearance of a U wave on the ECG tracing of your patient, This would indicate that the nurse check laboratory values for the presence of Which of the following should be performed prior to A-line insertion which of the following diets would be best for patient with renal failure? You're caring for a 49 yo head trauma pt with an ICP line. What is the formula for calculating the CPP? Your patient presents with fever, chills, cough, SOB and chest pain. Which diagnosis would you anticipate? Which of the following is considered a normal range for CVP Your patient complains of a stiff neck, headache and fever for the last 24 hr. What condition would you suspect? Your patient is experiencing a Hypotensive crisis, which medication would you anticipate giving? Which of the following is a Hypotonic solution What pathological condition might you suspect in a patient with a serum sodium of 165 and serum osmolality of 330? Which of the following medications are commonly used to decrease ICP Interpret the following: ABG 7.35, paCO2 60mmHg, HCO3 38 mEq Which of the folloing is a contraindication for administering Lorazepam