Progressive Care RN A Test Guide With Complete Solution

Which of the following medications is MOST commonly indicated for patients with CHF? -Answer Ace inhibitors A patient was involved in a motor vehicle accident and CAT scan results reveal a right sided SDH. What would be an expected neurological assessment finding in this patient? -Answer Dilated right pupil What is the most common symptom of SIADH? -Answer Fluid retention Upon arrival to the unit, you receive report on four PCU patients. Which patient should you attend to FIRST? -Answer A patient complaining of shortness of breathe on continuous BiPAP with a BP of 189/109 Of the following patients, which one would you see FIRST? -Answer A 30 year suicidal female that took an unknown number of alprazolam with an O2 saturation of 85% You are caring for a patient with new onset atrial fibrillation with a blood pressure of 80/60. Which of the following treatment options is MOST appropriate? -Answer Electrical cardioversion Which of the following supplemental medications is frequently ordered in conjunction with furosemide? -Answer Potassium Which of the following positions is the BEST way to assess for JVD? -Answer Position the patient on his/her back with the head of bed 30-45 degrees Your patient is on the midday schedule for hemodialysis. He has 100 mg of metoprolol XL ordered for this morning and his blood pressure if 150/98. Which of the following would be an appropriate action? -Answer Hold the metoprolol because of the upcoming dialysis You walk into your patient's room and notice that the chest tube collection chamber has been knocked over on the floor. There appears to be drainage dispersed throughout the chambers. What should you do NEXT? -Answer Replace the chamber with a new one Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is 89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is this patient most likely experiencing? -Answer Hypovolemic shock You are caring for a patient with a chest tube that has become dislodged. Which of the following would you do FIRST? -Answer Cover the insertion site immediately with Vaseline gauze