B.
Continue insulin drip at a lower rate, and add dextrose to IV fluids to allow continued acidosis resolution
✓
C.
Increase insulin drip rate
✓
D.
Administer oral glucose
✓
A.
Administer oral antacids
✓
B.
Establish large-bore IV access, administer IV fluids/blood products, and prepare for endoscopy
✓
C.
Administer a diuretic
✓
B.
QT prolongation and extrapyramidal symptoms
✓
B.
Widespread microvascular thrombosis and uncontrolled bleeding
✓
A.
Administer through the same lumen sequentially
✓
B.
Administer incompatible medications through separate lumens to prevent precipitation or inactivation
✓
C.
Administer through a peripheral IV only
✓
D.
Mix all medications together
✓
A.
Give all medications at higher doses
✓
B.
Many medications require dose adjustment or avoidance due to renal excretion
✓
C.
No medication adjustment is needed
✓
D.
Give all medications orally
✓
A.
Use a small gauge IV catheter
✓
B.
Use a large bore (e.g., 18G or 16G) IV catheter or central line for rapid infusion
✓
D.
Use a subcutaneous line
✓
A.
Administer oral corticosteroids
✓
B.
Administer bronchodilators (e.g., albuterol, ipratropium) via nebulizer, systemic corticosteroids, and oxygen
✓
C.
Administer a diuretic
✓
D.
Encourage deep breathing exercises
✓
A.
Patient needs more sedation
✓
B.
Dexmedetomidine-induced bradycardia and hypotension, requiring physician notification and possible dose reduction
✓
C.
Pain is not controlled
✓
B.
Pancreatic necrosis with potential for sepsis and organ failure
✓
D.
Urinary tract infection
✓
B.
Check lead placement, ensure good skin contact, clean skin, and replace electrodes
✓
D.
Turn off the monitor
✓
B.
CO2 narcosis in patients with chronic hypercapnia (e.g., COPD) due to excessive oxygen
✓
A.
To increase blood pressure
✓
B.
To reduce fluid overload and pulmonary edema
✓
C.
To increase heart rate
✓
D.
To sedate the patient
✓
A.
To increase stomach acid
✓
B.
To suppress gastric acid secretion and promote ulcer healing
✓
C.
To stimulate appetite
✓
A.
Patient is recovering
✓
B.
Persistent tissue hypoperfusion and ongoing shock despite vasopressor support
✓
C.
Lactate is falsely elevated
✓
D.
Patient is receiving too much fluid
✓
A.
Increased coronary artery perfusion
✓
B.
Decreased cardiac output and increased afterload
✓
D.
Decreased heart rate
✓
B.
Ventilator-associated pneumonia (VAP)
✓
B.
Herniation of the brain
✓
A.
Administer IV fluids rapidly
✓
B.
Prepare for immediate needle decompression or chest tube insertion
✓
C.
Administer a diuretic
✓
