100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NRSG 4472: Chapter 9 (Sedation and Delirium Management) questions with correct answers $14.99   Add to cart

Exam (elaborations)

NRSG 4472: Chapter 9 (Sedation and Delirium Management) questions with correct answers

 3 views  0 purchase
  • Course
  • RN- Nursing
  • Institution
  • RN- Nursing

An intubated patient with acute respiratory distress syndrome is experiencing ventilator asynchrony. It is determined that the patient must be started on sedation. The ICU nurse knows that the most appropriate sedation medication for use with this patient includes which medication? a) Lorazepam b...

[Show more]

Preview 3 out of 16  pages

  • November 7, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RN- Nursing
  • RN- Nursing
avatar-seller
cracker
NRSG 4472: Chapter 9 (Sedation and Delirium
Management) questions with correct answers
An intubated patient with acute respiratory distress syndrome is
experiencing ventilator asynchrony. It is determined that the patient
must be started on sedation. The ICU nurse knows that the most
appropriate sedation medication for use with this patient includes which
medication?
a) Lorazepam
b) Haloperidol
c) Midazolam
d) Propofol Correct Answer-d


Which finding is a characteristic of deep sedation?
a) Patient responds to verbal commands
b) Patient is unarousable even by painful stimulation
c) Spontaneous ventilations are adequate
d) Patient requires assistance in maintaining a patent airway Correct
Answer-d


A patient with acute respiratory distress syndrome has been in deep
sedation with high-dose propofol infusion for 48 hours. The nurse
recognizes that the patient is at risk for the development of propofol
infusion syndrome (PIS). To determine the potential for PIS, what
laboratory value should be monitored?
a) Creatinine level
b) Low-density lipoprotein level

,c) Potassium level
d) Triglyceride level Correct Answer-d


Delirium represents a global impairment of cognitive processes and is
best characterized by which finding?
a) A gradual onset, disorientation, and inappropriate behavior
b) An acute onset, disorientation, and hallucinations
c) Aphasia, apraxia, and agnosia
d) Impaired long-term memory, depression, and agitation Correct
Answer-b


Electrocardiographic (ECG) monitoring is recommended with
haloperidol administration because neuroleptic agents such as
haloperidol can cause which dysrhythmia?
a) Atrioventricular reentrant tachycardia
b) QTc-interval prolongation and torsades de pointes
c) PR-interval prolongation and atrioventricular (AV) block formations
d) Sinus node dysfunction and bradycardia Correct Answer-b


The nurse suspects that a patient has had an overdose of lorazepam
(Ativan). Which reversal agent is appropriate?
a) Naloxone (Narcan) 0.4 mg IM
b) Naloxone (Narcan) 0.4 mg IV, diluted
c) Flumazenil (Romazicon) 0.2 mg IV
d) Flumazenil (Romazicon) 2 mg IV Correct Answer-c

, A mechanically ventilated patient has been on a propofol (Diprivan) drip
for sedation for 6 days. The morning laboratory report shows a K+ level
of 6.0 with blood gases: pH 7.30, pO2 92, pCO2 42, and HCO3 15.
Which action should the nurse take first?
a) Turn off the propofol.
b) Wait for the rest of the morning laboratory work and notify the health
care provider (HCP).
c) Increase the rate on the ventilator.
d) Administer a prn dose of K+ STAT. Correct Answer-a


The nurse is performing a "sedation vacation" on a mechanically
ventilated patient on a midazolam (Versed) drip. After 15 minutes, the
patient's blood pressure and respiratory rate alarms are sounding. Which
action should the nurse perform first?
a) Auscultate heart sounds.
b) Turn the midazolam drip back on.
c) Silence the alarms and continue to observe the patient.
d) Notify the health care provider (HCP). Correct Answer-b


The nurse is administering IV haloperidol (Haldol) to a patient and
notices a new onset of QT prolongation. The nurse realizes that this
could cause what problem?
a) Dysrhythmias
b) Hypertension
c) Gastric reflux

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

81298 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
  Add to cart