B.
Hypokalemia, requiring immediate potassium replacement
✓
C.
Myocardial infarction
✓
A.
Patient is recovering well
✓
B.
Persistent tissue hypoperfusion or ongoing infection, requiring further assessment
✓
C.
Lactate is falsely elevated
✓
D.
Patient needs more fluid
✓
A.
To increase the readings
✓
B.
To eliminate the effect of atmospheric pressure on the measurements and ensure accuracy
✓
C.
To decrease the readings
✓
D.
To make the waveform flat
✓
A.
Administer potassium chloride
✓
B.
Administration of calcium gluconate, insulin/dextrose, or sodium polystyrene sulfonate (Kayexalate) as ordered
✓
C.
Administer a diuretic
✓
D.
Administer an antibiotic
✓
A.
Dextrose 5% in water
✓
B.
Isotonic crystalloids (e.g., Lactated Ringer's, Normal Saline)
✓
B.
Ileus or bowel obstruction/perforation
✓
B.
Place patient in Trendelenburg position, instruct to bear down (Valsalva), and apply occlusive dressing immediately after removal
✓
C.
Remove without dressing
✓
D.
Remove while patient is coughing
✓
A.
Administer more sedation
✓
B.
Optimize ventilator settings (e.g., increase PEEP, adjust I:E ratio), consider proning, or ECMO
✓
C.
Disconnect from ventilator
✓
D.
Administer a diuretic
✓
A.
Remove cooling devices
✓
B.
Increase cooling interventions (e.g., adjust cooling blanket, administer cold IV fluids)
✓
C.
Administer warming blankets
✓
D.
Administer antipyretics only
✓
C.
Transient ischemic attack (TIA)
✓
A.
Insufficient dobutamine dose
✓
B.
Dobutamine-induced arrhythmias, requiring physician notification and possible dose adjustment
✓
A.
Increase environmental stimulation
✓
B.
Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
✓
C.
Administer a sedative without assessment
✓
D.
Administer a diuretic
✓
B.
Eye opening, verbal response, and motor response
✓
C.
Patient's favorite food
✓
B.
Myocardial dysfunction or ischemia due to high vasopressor doses
✓
A.
Increase sodium in replacement fluid
✓
B.
Adjust the sodium concentration in the CRRT replacement fluid to prevent hypernatremia
✓
C.
Decrease sodium in replacement fluid
✓
D.
Administer more fluid
✓
A.
Administer a diuretic
✓
B.
Aggressive fluid resuscitation with crystalloids and colloids
✓
C.
Administer antibiotics
✓
D.
Administer a vasoconstrictor
✓
A.
Disconnect all lines
✓
B.
Ensure all critical infusions and equipment are securely transported, and communicate patient status/needs to receiving unit
✓
C.
Transfer without monitoring
✓
D.
Transfer without communication
✓
B.
Pulmonary embolism or bronchospasm
✓
