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Prophecy General ICU RN A v2 Latest Updated Material 2023

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Common complications of massive transfusions are - Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L - Metabolic Acidosis 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) 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) 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? - A) *WRONG* Endotracheal Intubation B) Chest tube insertion C) Tracheostomy D) Bronchoscopy 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 Hypertensive crisis - 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 Which class of drugs should be avoided in patients with asthma? - Beta Blockers CAM-ICU is a measure for which condition? - Delirium Which of the following drugs would you expect to administer in a patient diagnosed with myasthenia gravis? - Mestinon ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L - Respiratory Alkalosis When assessing a chest tube, which of the following indicates a possible air leak - Excessive bubbling in the water chamber Which of the following medications improves contractility, increases stroke volume, and increases cardiac output? - Dobutamine Muffled heart sounds would indicate what condition? - Cardiac tamponade Pain assessment in an unconscious patient - Requires astute assessment skills using multiple approaches Which of the following tests should be performed prior to administering tPA - CT Scan Which of the following classes of drugs are used in an effort to therapeutically decrease venous return and reduce peripheral vascular resistance? - Vasodilators

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