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Progressive Care RN A 2024 Progressive Care RN A 2024
Typology: Exams
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You want to assess for jugular vein distention (JVD). What position would be BEST?
✔Call provider to clarify the order. Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions? - ✔No changes. These are high quality compressions. What is required before making a report of elder abuse? - ✔Suspicion of abuse You receive your patient with pneumonia from the ED. Antibiotics and steroids have been initiated by the provider. The patient reports abdominal pain and has a large loose bowel movement. They inform you this is their third bowel movement in the last two hours. What would you do FIRST? - ✔Initiate enteric contact isolation precautions for possible C. diff Your patient has developed sepsis from an indwelling urinary catheter. What would be your PRIORITY intervention? - ✔Remove catheter. Your patient is in third degree heart block. What treatment would you MOST likely expect to be implemented? - ✔Pacemaker What are 2 nursing interventions to prevent venous thromboembolism? - ✔• Adequate hydration and early mobilization.
You are performing auscultation on your patient. You note an absence of breath sounds in the right lower lobe. What would you suspect? - ✔Pneumothorax You complete a mental status assessment on your patient. You notice they are oriented some of the time but not all of the time as their attention drifts when you ask them questions. What would be an appropriate screening tool based on your assessment findings? - ✔Confusion Assessment Method (CAM) Your patient reports nausea, vomiting, and diarrhea. Their blood pressure is 89/55, heart rate 122 bpm, and temperature 100.8°F. What condition do you expect? - ✔Hypovolemic shock Your patient was diagnosed with atrial fibrillation. They are being discharged on anticoagulant therapy every evening. Which patient statement indicates a need for further teaching? - ✔I cannot wait to get back to riding my horse. Your patient's epicardial wires were pulled 30 minutes ago. They now report acute chest pain. What would you do NEXT? - ✔Call cardio-thoracic surgeon and report symptoms. You enter your patient's room. You notice the telemetry box and the IV catheter on the bed. You last saw your patient 1 hour ago. Who would you notify immediately? - ✔Charge nurse A patient is status post video-assisted thorascopic surgery (VATS) with lobectomy. You are preparing to admit them. What equipment should be placed in their room prior to their arrival? - ✔• Trach collar