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
✓
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.
Increase environmental stimulation
✓
B.
Assess for pain, discomfort, or other causes of agitation, and administer analgesia/sedation as ordered to prevent further ICP elevation
✓
C.
Apply physical restraints immediately
✓
D.
Administer a diuretic
✓
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
✓
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
✓
B.
Reposition the patient, instruct to cough, and assess for kinks or clot in the line; do not force flush
✓
C.
Inject air into the line
✓
D.
Administer a strong flush
✓
A.
Patient is recovering
✓
B.
Risk of barotrauma and lung injury
✓
C.
Low risk of lung injury
✓
D.
Patient is hyperventilating
✓
A.
Administer more diuretics
✓
B.
Titrate sedation and analgesia to ensure patient comfort and prevent anxiety/agitation
✓
C.
Discontinue all pain medication
✓
D.
Administer more fluid
✓
A.
Patient is recovering
✓
B.
Persistent infection or inadequate antibiotic coverage, requiring further investigation
✓
C.
WBC is falsely elevated
✓
D.
Patient needs more fluid
✓
