Prophecy General ICU RN A v2 – Flashcards

Common complications of massive transfusions are

ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L

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.

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?

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?

Hypertensive crisis

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?

CAM-ICU is a measure for which condition?

Which of the following drugs would you expect to administer in a patient diagnosed with myasthenia gravis?

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?

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 medication is a paralytic

90% of thrombi develop in which area of the body?

Which of the following medications is usually the first to be administered during status epilepticus

Pt'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

Must be performed prior to A-line insertion

Diet 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?

Pt presents with fever, chills, cough, SOB and chest pain. Which diagnosis would you anticipate?

CVP normal range

Pt presents with stiff neck, headache and fever for the last 24 hr. What condition would you suspect?

Hypotensive crisis, which med would you anticipate giving?

Hypotonic solution

What pathological condition might you suspect in a patient with a serum sodium of 165 and serum osmolality of 330?

Med commonly used to decrease ICP

ABG 7.35, paCO2 60mmHg, HCO3 38 mEq

Contraindicated for Lorazepam