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
✓
A.
Administer IV fluids rapidly
✓
B.
Prepare for immediate needle decompression or chest tube insertion
✓
C.
Administer a diuretic
✓
B.
Acute decompensated heart failure (pulmonary edema)
✓
D.
Deep vein thrombosis
✓
B.
Check for a leak in the ventilator circuit or patient disconnection
✓
C.
Decrease the tidal volume
✓
D.
Increase the respiratory rate
✓
A.
Increase the vasopressor dose
✓
B.
Assess for signs of peripheral ischemia due to vasopressor effects, notify physician, and consider dose adjustment
✓
C.
Apply warm compresses
✓
D.
Administer a diuretic
✓
A.
Increase the CRRT blood flow
✓
B.
Assess for hypovolemia or bleeding, and adjust CRRT fluid removal rate or administer fluids as ordered
✓
C.
Decrease the CRRT fluid removal rate
✓
D.
Stop CRRT without orders
✓
A.
To increase blood pressure
✓
B.
To reduce cerebral edema by drawing fluid out of the brain
✓
C.
To increase urine output
✓
D.
To sedate the patient
✓
B.
Perforation of a hollow organ or peritonitis
✓
A.
Place electrodes on bony prominences
✓
B.
Place electrodes on fleshy areas, avoiding bony prominences, and ensure good skin contact
✓
C.
Place electrodes over joints
✓
D.
Place electrodes on hair-covered areas
✓
A.
Administer oral fluids
✓
B.
Secure the airway, support ventilation, and administer antidote if available (e.g., naloxone)
✓
C.
Administer a diuretic
✓
A.
Administer a diuretic
✓
B.
Aggressive intravenous fluid resuscitation to maintain circulating volume
✓
C.
Administer antibiotics
✓
D.
Administer an antiemetic
✓
A.
To decrease heart rate
✓
B.
To increase myocardial contractility and peripheral vasoconstriction
✓
D.
To sedate the patient
✓
A.
Patient is recovering
✓
B.
Persistent tissue hypoperfusion and ongoing shock despite vasopressor support
✓
C.
Lactate is falsely elevated
✓
D.
Patient is receiving too much fluid
✓
A.
Increased coronary artery perfusion
✓
B.
Decreased cardiac output and increased afterload
✓
D.
Decreased heart rate
✓
