A.
Prepare without double-check
✓
B.
Use an infusion pump with dose error reduction system (DERS) and perform independent double-check with another nurse
✓
C.
Administer as a bolus
✓
D.
Use a gravity infusion
✓
A.
Patient is recovering
✓
B.
Brain herniation, requiring immediate neurosurgical intervention
✓
A.
Patient needs more vasopressin
✓
B.
Vasopressin-induced coronary vasoconstriction, requiring physician notification and potential discontinuation
✓
A.
Administer oral fluids
✓
B.
Secure the airway, support ventilation, and administer antidote if available (e.g., naloxone)
✓
C.
Administer a diuretic
✓
B.
Assess patient's respiratory effort, check for disconnection, and ensure appropriate ventilator settings
✓
C.
Increase the tidal volume
✓
D.
Decrease the respiratory rate
✓
B.
Inadequate anticoagulation or filter malfunction
✓
A.
Continue the infusion
✓
B.
Stop the infusion immediately, aspirate residual drug, and administer phentolamine or terbutaline (antidote) locally if ordered
✓
C.
Increase the infusion rate
✓
A.
Increase environmental stimulation
✓
B.
Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
✓
C.
Administer a sedative without assessment
✓
D.
Administer a diuretic
✓
A.
Epinephrine is not working
✓
B.
Epinephrine-induced tachycardia and arrhythmias, requiring physician notification and possible dose reduction
✓
C.
Patient needs more fluid
✓
A.
Increase oxygen saturation immediately
✓
B.
Assess for underlying causes (e.g., hypoxemia, hypercapnia, pain, delirium), and administer appropriate sedation/analgesia
✓
C.
Restrain the patient
✓
D.
Administer a diuretic
✓
Page 642 of 1122
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