C.
Myocardial infarction
✓
A.
Increase the infusion rate
✓
B.
Check the IV tubing for kinks, clamps, or occlusions distal to the pump
✓
C.
Decrease the infusion rate
✓
A.
Increase insulin drip rate
✓
B.
Monitor potassium levels closely and prepare for potassium replacement if needed, as insulin shifts potassium intracellularly
✓
C.
Stop the insulin drip
✓
D.
Administer oral glucose
✓
B.
CPP is inadequate and indicates insufficient blood flow to the brain
✓
A.
Apply suction continuously during insertion
✓
B.
Pre-oxygenate the patient before suctioning, limit suctioning time to 10-15 seconds, and apply suction only on withdrawal
✓
C.
Suction for prolonged periods
✓
D.
Use a small catheter
✓
A.
Administer more fluids
✓
B.
Monitor serum osmolality and electrolytes, and assess for fluid balance and urine output
✓
D.
Administer a diuretic
✓
A.
Increase the flush bag pressure
✓
B.
Check for air bubbles, kinks, or clot in the line, and flush the system
✓
C.
Decrease the flush bag pressure
✓
D.
Re-zero the transducer
✓
B.
Acute Respiratory Distress Syndrome (ARDS)
✓
A.
Increase systemic vascular resistance
✓
B.
Increase myocardial contractility and cause vasodilation
✓
D.
Decrease cardiac output
✓
A.
Administer aspirin immediately
✓
B.
Perform rapid neurological assessment (NIHSS), determine last known well time, and prepare for CT scan of the brain
✓
C.
Administer oral fluids
✓
D.
Elevate head of bed to 90 degrees
✓
A.
Propofol is not working
✓
B.
Propofol Infusion Syndrome (PRIS), requiring immediate discontinuation of propofol and supportive care
✓
B.
Hypovolemic shock (due to fluid shifts and capillary leak)
✓
A.
Increase HFNC flow rate
✓
B.
Prepare for intubation and mechanical ventilation
✓
C.
Administer a sedative only
✓
D.
Administer more HFNC oxygen
✓
A.
Achieve MAP < 50 mmHg
✓
B.
Achieve a target MAP of 65 mmHg or higher
✓
C.
Achieve MAP > 100 mmHg
✓
D.
Achieve a heart rate of 150 bpm
✓
B.
Pancreatic necrosis with hemorrhage or peritonitis
✓
B.
Elevate head of bed 30-45 degrees, daily sedation holidays, oral care with chlorhexidine, and DVT/stress ulcer prophylaxis
✓
C.
Frequent suctioning only
✓
D.
Allowing patient to self-extubate
✓
B.
Assess for causes (e.g., agitation, coughing, EVD obstruction), ensure proper EVD drainage, and notify physician
✓
C.
Lower the head of the bed
✓
D.
Administer more fluid
✓
A.
Administer oral glucose
✓
B.
Administer IV dextrose (e.g., D50W) stat
✓
D.
Administer a diuretic
✓
