A.
Administer more benzodiazepines
✓
B.
Administration of a loading dose of fosphenytoin or levetiracetam
✓
C.
Administer a diuretic
✓
D.
Administer an opioid
✓
A.
Current blood pressure
✓
B.
Last known well time from patient or family
✓
C.
Patient's favorite food
✓
D.
Previous medical history
✓
A.
Administer oral glucose
✓
B.
Administer intravenous insulin drip as ordered, along with fluid resuscitation
✓
C.
Administer oral bicarbonate
✓
D.
Administer a diuretic
✓
B.
Severe left ventricular dysfunction and pulmonary edema
✓
C.
Right ventricular failure
✓
A.
Administer IV fluids
✓
B.
Prepare for pericardiocentesis or surgical drainage
✓
C.
Administer a diuretic
✓
A.
Increase the nicardipine infusion rate
✓
B.
Decrease or hold the nicardipine infusion, administer a fluid bolus if ordered, and notify the physician
✓
C.
Administer a vasopressor
✓
D.
Administer a diuretic
✓
A.
Assess for patient pain
✓
B.
Assess for a leak in the ventilator circuit, cuff leak, or patient disconnection
✓
C.
Check the patient's temperature
✓
A.
Discontinuation of all medications
✓
B.
Administration of hydrocortisone (stress-dose steroids)
✓
C.
Administration of a diuretic
✓
D.
Administration of an anticoagulant
✓
A.
Increase the patient's stimulation
✓
B.
Maintain head of bed at 30 degrees, ensure neck alignment, and administer mannitol/hypertonic saline as ordered
✓
C.
Administer a sedative
✓
D.
Administer a fluid bolus
✓
A.
Increase the respiratory rate
✓
B.
Assess for pain, anxiety, secretion buildup, or inadequate sedation, and troubleshoot ventilator settings
✓
C.
Decrease the tidal volume
✓
D.
Disconnect the patient from the ventilator
✓
A.
Flush the line with saline only after administration
✓
B.
Clamp the central line lumen before opening the cap or disconnecting syringes, and ensure no air is in the syringe
✓
C.
Push medication rapidly
✓
D.
Inject air into the line to ensure patency
✓
A.
Patient is sleeping quietly
✓
B.
Rapidly worsening respiratory distress, declining oxygen saturation despite supplemental oxygen, and altered mental status
✓
A.
Administer epinephrine IV push
✓
B.
Administer IV fluid bolus, assess for underlying cause, and initiate vasopressor support if needed
✓
C.
Administer a diuretic
✓
B.
Increase the heparin infusion rate as per protocol/order
✓
C.
Decrease the heparin infusion rate
✓
D.
Administer protamine sulfate
✓
B.
Inhalation injury and impending airway obstruction
✓
B.
Vasopressor-induced peripheral vasoconstriction and ischemia
✓
A.
Apply a warm compress to the site
✓
B.
Suspect central line-associated bloodstream infection (CLABSI), obtain blood cultures, and notify the physician
✓
C.
Administer a diuretic
✓
D.
Remove the CVC without orders
✓
A.
Decreased cardiac output
✓
B.
Increased afterload and decreased coronary artery perfusion
✓
D.
Increased heart rate
✓
