PROPHECY SURGICAL ICU EXAM A V3 LATEST ACTUAL EXAM 73
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
What is the nurse to patient ratio in the ICU? -
Answer-1:2, with nursing care needed every hour on the hour
Who is the primary care provider when the patient enters a closed ICU? -
Answer-the ICU staff
What procedures can occur bedside in the ICU? -
Answer-most all, bronch, central lines
Where can central lines be placed? -
Answer-subclavian, internal jugular, and femoral
Of the these sites, which is more prone to infections and why? -
Answer-the femoral site bc the groin is dark moist and grows stuff so typically don't
leave it more than 24 hours
What are central lines made of and what size and type are mostly used? -
Answer-polyurethane, 7 french, triple lumen
What does PIC stand for and what is it made of? -
Answer-peripheral inserted catheter, made of silicone
Why is heparin preferred for anticoagulation? -
Answer-bc it is short acting and reversible
What is the MOA of heparin?? -
Answer-inhibition of platelets, binds to antithrombin II which then inactivates thrombin
and other proteases involved in blood clotting, most notably factor Xa.
What reverses heparin? -
Answer-Protamine Sulfate
What is the route and dose typically administered of heparin? -
Answer-subQ injections 5000 units every 8 hours for prophylaxis
What lab would you use to guide treatment with heparin? -
Answer-PTT- not the PT/INR!!
What is not typically given as an anticoagulant to patients that have a risk for
bleeding or renal failure, even though it is easier than heparin? -
Answer-Lovenox
, Besides heparin and lovenox, what are other common anticoagulants? -
Answer-aspirin, plavix, and warfarin
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
What is the nurse to patient ratio in the ICU? -
Answer-1:2, with nursing care needed every hour on the hour
Who is the primary care provider when the patient enters a closed ICU? -
Answer-the ICU staff
What procedures can occur bedside in the ICU? -
Answer-most all, bronch, central lines
Where can central lines be placed? -
Answer-subclavian, internal jugular, and femoral
Of the these sites, which is more prone to infections and why? -
Answer-the femoral site bc the groin is dark moist and grows stuff so typically don't
leave it more than 24 hours
What are central lines made of and what size and type are mostly used? -
Answer-polyurethane, 7 french, triple lumen
What does PIC stand for and what is it made of? -
Answer-peripheral inserted catheter, made of silicone
Why is heparin preferred for anticoagulation? -
Answer-bc it is short acting and reversible
What is the MOA of heparin?? -
Answer-inhibition of platelets, binds to antithrombin II which then inactivates thrombin
and other proteases involved in blood clotting, most notably factor Xa.
What reverses heparin? -
Answer-Protamine Sulfate
What is the route and dose typically administered of heparin? -
Answer-subQ injections 5000 units every 8 hours for prophylaxis
What lab would you use to guide treatment with heparin? -
Answer-PTT- not the PT/INR!!
What is not typically given as an anticoagulant to patients that have a risk for
bleeding or renal failure, even though it is easier than heparin? -
Answer-Lovenox
, Besides heparin and lovenox, what are other common anticoagulants? -
Answer-aspirin, plavix, and warfarin
