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Prophecy General ICU RN Part 1

Nursing25 CardsCreated 5 months ago

This deck covers key concepts and questions related to ICU nursing, including complications, assessments, and treatments.

Long term use of TPN may lead to:

Liver Failure
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Key Terms

Term
Definition
Long term use of TPN may lead to:
Liver Failure
Which of the following is a potential complication of high PEEP
Pneumothorax
What is a common assessment finding for a patient returning from a small bowel resection?
Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the following would you suspect.
B) Acute MI
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?
C) Informing the charge nurse that a patient needs attention
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?
C) Tracheostomy

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TermDefinition
Long term use of TPN may lead to:
Liver Failure
Which of the following is a potential complication of high PEEP
Pneumothorax
What is a common assessment finding for a patient returning from a small bowel resection?
Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the following would you suspect.
B) Acute MI
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?
C) Informing the charge nurse that a patient needs attention
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?
C) Tracheostomy
The initial insulin therapy for a patient with acute DKA is usually administered by which route
Intravenous bolus followed by a continuous infusion
Screening tests for DIC include:
D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to regulate water balance?
ADH
Which of the following IV sedatives would most likely be ordered for a non-intubated patient?
Precedex
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?
Aspiration
Which of the following is a response of the cardiovascular system to early sepsis?
Increased cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated?
Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
Hypertensive crisis
Nicardipine
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?
Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma?
Beta Blockers
CAM-ICU is a measure for which condition?
Delirium
Which of the following drugs would you expect to administer in a patient diagnosed with myasthenia gravis?
Mestinon
ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L
Respiratory Alkalosis
When assessing a chest tube, which of the following indicates a possible air leak
Excessive bubbling in the water chamber
Which of the following medications improves contractility, increases stroke volume, and increases cardiac output?
Dobutamine
Muffled heart sounds would indicate what condition?
Cardiac tamponade
Pain assessment in an unconscious patient
Requires astute assessment skills using multiple approaches
Which of the following tests should be performed prior to administering tPA
CT Scan
Which of the following classes of drugs are used in an effort to therapeutically decrease venous return and reduce peripheral vascular resistance?
Vasodilators