B.
Elevate head of bed to 30-45 degrees, check tube placement before feeding, and administer prokinetics if ordered
✓
C.
Do not check placement
✓
D.
Administer feed immediately after insertion
✓
A.
Increase sedation only
✓
B.
Preparation for proning or ECMO
✓
C.
Discontinuation of ventilator
✓
D.
Administration of diuretics
✓
B.
Hepatic encephalopathy
✓
A.
Re-zero the transducer
✓
B.
Assess the patient's clinical status, check for bleeding/disconnection, and initiate rapid fluid bolus or vasopressor as ordered
✓
C.
Administer a diuretic
✓
D.
Calibrate the monitor
✓
A.
Administer a diuretic
✓
B.
Aggressive intravenous fluid resuscitation to prevent acute kidney injury
✓
C.
Administer antibiotics
✓
D.
Administer a vasoconstrictor
✓
A.
Continue the infusion
✓
B.
Stop the antibiotic infusion immediately, assess airway/breathing, and prepare to administer epinephrine/antihistamines
✓
C.
Slow down the infusion rate
✓
D.
Administer a diuretic
✓
A.
Patient is recovering
✓
B.
High risk of barotrauma and lung injury
✓
C.
Low risk of lung injury
✓
D.
Patient is hyperventilating
✓
B.
Aortic dissection or papillary muscle rupture with mitral regurgitation
✓
D.
Deep vein thrombosis
✓
A.
Increase the blood flow rate
✓
B.
Flush the access line according to protocol, and notify the nephrologist/intensivist
✓
C.
Administer a diuretic
✓
D.
Disconnect the patient from CRRT
✓
A.
Discontinuation of norepinephrine
✓
B.
Addition of a second vasopressor (e.g., vasopressin) or hydrocortisone
✓
C.
Increase the patient's fluid intake significantly
✓
D.
Administer a diuretic
✓
A.
Normal neurological function
✓
B.
Severe brainstem compression and imminent herniation
✓
A.
Immediately apply restraints
✓
B.
Assess the cause of agitation (e.g., pain, hypoxemia, delirium), and consider sedation or analgesia as ordered
✓
C.
Leave the patient unattended
✓
D.
Increase the ventilator settings
✓
A.
Administer activated charcoal
✓
B.
Administer naloxone (Narcan) IV push
✓
C.
Administer a diuretic
✓
D.
Administer an antidepressant
✓
B.
Pulmonary embolism or pneumothorax
✓
C.
Myocardial infarction
✓
D.
Deep vein thrombosis
✓
A.
Improved tissue oxygenation
✓
B.
Increased oxygen demand or decreased oxygen delivery (e.g., hypoxemia, low cardiac output, anemia)
✓
C.
Decreased metabolic rate
✓
A.
Continue fluid resuscitation
✓
B.
Assess for fluid overload/pulmonary edema, notify physician, and consider decreasing fluid rate or administering diuretic
✓
C.
Administer more vasopressors
✓
D.
Increase oxygen flow rate
✓
A.
Apply a warm compress
✓
B.
Apply sterile pressure dressing, reinforce, and notify physician
✓
C.
Administer an anti-coagulant
✓
B.
Pancreatic necrosis and potential for multi-organ failure
✓
D.
Urinary tract infection
✓
A.
Leave it on the floor
✓
B.
Re-level the transducer to the phlebostatic axis and re-zero the system
✓
D.
Calibrate the monitor
✓
