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
✓
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 a diuretic
✓
B.
Administer IV fluid bolus rapidly as ordered
✓
C.
Start broad-spectrum antibiotics immediately
✓
D.
Prepare for central line insertion
✓
A.
Aspiration pneumonia
✓
B.
Tension pneumothorax
✓
C.
Acute respiratory distress syndrome (ARDS)
✓
A.
Administer a vasodilator
✓
B.
Check for kinks in the tubing, air bubbles, or disconnection, and flush the line
✓
D.
Calibrate the monitor
✓
A.
Decrease myocardial contractility
✓
B.
Increase myocardial contractility and cardiac output
✓
C.
Increase systemic vascular resistance
✓
A.
Administer scheduled oral anti-epileptic medication
✓
B.
Protect the patient's airway, administer benzodiazepine (e.g., lorazepam) IV as ordered, and ensure safety
✓
C.
Apply restraints immediately
✓
D.
Document the seizure characteristics
✓
A.
Increase the sedation
✓
B.
Assess for and clear airway obstruction (e.g., suction, reposition ETT, provide sedation if indicated)
✓
C.
Decrease the tidal volume
✓
D.
Disconnect the patient from the ventilator
✓
B.
Peritonitis or abscess formation
✓
C.
Pulmonary hypertension
✓
D.
Urinary tract infection
✓
A.
It causes hyperglycemia
✓
B.
It can cause significant hypotension and respiratory depression, requiring continuous hemodynamic monitoring and airway support
✓
D.
It is an anticoagulant
✓
A.
Administer amiodarone IV
✓
B.
Synchronized cardioversion
✓
D.
Administer adenosine IV
✓
A.
Elevate the head of the bed to 10 degrees
✓
B.
Notify the physician immediately and prepare for interventions to lower ICP (e.g., hyperventilation, mannitol)
✓
C.
Administer a sedative
✓
D.
Increase fluid intake
✓
A.
Administer sodium bicarbonate
✓
B.
Administer IV calcium gluconate/chloride as ordered (to stabilize myocardium), insulin/dextrose, or furosemide
✓
C.
Administer potassium chloride
✓
D.
Administer a potassium-sparing diuretic
✓
