Complex Care Tests Bundle Set

The nurse is caring for a patient with pneumonia unresponsive to two different antibiotics. Which action is most important for the nurse to complete before administering a newly prescribed antibiotic? a. Teach the patient to cough and deep breathe. b. Take the temperature, pulse, and respiratory r...

A Answer A nurse assesses a client who had a myocardial infarction and is hypotensive. Which additional assessment finding should the nurse expect? a. Heart rate of 120 beats/min b. Cool, clammy skin c. Oxygen saturation of 90% d. Respiratory rate of 8 breaths/min D Answer A nurse assesse...

A patient is admitted to the emergency department after sustaining abdominal injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic, and is not talking coherently. Vital signs upon admission are temperature 98 F (36 C), heart rate 130 beats/minute, respiratory ra...

Quality and safety in the complex care environment - what are your responsibilities Answer Hand hygiene, medication rights, call attention to near misses because need feedback and identifies the source of the problem, Perspectives on Complex Care Emergency care Answer All ages Right of all indi...

What is priority nursing care for Low Pressure Alarms? Answer tubing disconnection extubation cuff tube/leak What is priority nursing care for High Pressure Alarms? Answer secretions, coughing, gagging pt fighting vent condensation in tube kinked/biting tube increased resistance (bronchospa...

Clinical decision making Answer -Relates to clinical issues -A decision that you make based on skills, information, knowledge, school, and training -Includes experiences, conversations, assessments -Allows for multiple possibilities and solutions Critical thinking Answer -Asks the question wh...

Key Points About GCS Answer Get a baseline soon as possible when pt 1st arrives. Repeat assessments gauge improving or worsening status Give the best possible score for each component Sedation may take a while to wear off Opening and closing eyelids as asked is considered following comma...

serum potassium Answer 3.5-5 PR interval Answer 0.12-0.2 seconds (3-5 small boxes) QRS interval Answer < 0.12 seconds central venous pressure (CVP) in adults Answer 2-8 mmHg cardiac output (CO) in adults Answer 4-8 L/min cardiac index (CI) in adults Answer 2.2-4 L/min/m2 MAP in ...

A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the following assessments is most critical before the procedure? a. Intake and output b. Baseline peripheral pulse rates c. Height and weight d. Allergy to iodine or shellfish Answer d. This procedure requires...

The nurse understands that the AV node conducts at which of the following rates? Answer 40 - 60 The nurse understands that which of the following are considered appropriate interventions for a patient in SVT? SATA Answer vagal maneuvers, administer adenosine and cardioversion When caring for a...