PROPHECY SURGICAL ICU EXAM LATEST 2024 EXPERT CERTIFIED QUESTTIONS AND ANSWERS ALREADY GRADED A+ NEW! NEW! You have administered a pain medication that h as a half -life of 120 minutes, onset of action 6 min, tmax of 15 minutes, and is mostly excreted in the uring. when can the patient expect the medication to start working - ANSWERS -6 minutes A lethargic but oriented patient is being admitted for sepsis an d their family member is in the waiting area. Their belonging include a ring, cell phone, and wallet. The patient asks if they can keep the ring on and phone at bedside. What is your BEST response? - ANSWERS -It is best if your family takes your belongings. What is a significant complication of imaging studies performed with iv contrast - ANSWERS -Acute kidney injury What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive FIRST? - ANSWERS -Bipap Your intubated and unr esponsive patient is scheduled for surgery in the morning. Who is the most appropriate person to make decisions for your patient? - ANSWERS -The healthcare POA When administering a titratable infusion what information must you check on the medication IV ba g to confirm the correct dose is being administered? - ANSWERS -
Concentration Your patient has a known baseline heart rate of around 45. The ECG monitor keeps alarming when the heart rate decreases below 50. Their vital signs are stable. What would you do? - ANSWERS -A. Adjust the alarm parameters How is dopamine usually administered in the icu when given intravenously - ANSWERS -Titratable continous infusion Which of the following can be given through an enteral feeding tube? - ANSWERS -
Immediate release pi lls When donning an N -95 mask, how should you secure the nose? - ANSWERS -Fit the nose piece with both hands What type of medication is used in the critical care setting to help manage the symptoms of alcohol withdrawal? - ANSWERS -Benzodiazepines While a dmitting a patient with a history of IV drug use, what precautions should you take? - ANSWERS -Carefully inspect items for presence of sharps. Your patient is intubated and begins to cough up clear mucous inside their ETT. What should you do NEXT? - ANSWERS -A. Instill normal saline to lavage ETT*WRONG* B. Sit the patient up to 30 degrees in bed *wrong* C. Inspect their oral cavity and suction mou th D. Provide 100% oxygenation and prepare to suction What is a complication of long term TPN? - ANSWERS -Liver injury Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line placement? - ANSWERS -Allen Test You find t he concentration of an IV medication bag that is hanging and infusing into your patient does not match the concentration in the order. What should you do NEXT? - ANSWERS -Stop the infusion Your patient has a right chest tube that was placed after thoracoto my. They report that is very painful when they cough and request cough medicing. What should you do? - ANSWERS -Teach them to splint their right side when coughing and give pain medicine Your patient had an unplanned self -extubation. They are now alert and sitting up. Their pulse oximetry is 98% on 4 liters face mask. What action should you prioritize? - ANSWERS -A. Inspecting the oral cavity B. Checking blood pressure and the heart rate*WRONG C. Administering an albuterol nebulizer D. Performing an ordered STAT ABG *WRONG One of your patients coded but is now stabilized and you are catching up on charting. The step -down unit calls to get report on your other patient who is to be transfered. The nurses near you do not ap pear busy. How should you prioritize your time? - ANSWERS -Give report and ask the nurses to prepare the patient for transfer.
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