Progressive Care RN A v1

A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a suicide attempt the previous shift and states "I want to die because I am being bullied at school." Which of the following is the MOST important action? - Place the patient on suicide precautions to prevent a second suicide attempt A 78 year old male is admitted from the ED for syncope with ground level fall. You note his heart rate is 50 and the patient is confused. His daughter states she thinks he has dementia but he has not been diagnosed yet. Blood pressure is stable. What order do you anticipate? - Stat head CT A co-worker administered a narcotic earlier in the shift, but failed to get a witness for the portion of medication that was wasted. The co-worker asks that you sign off as the witness. What is the BEST response? - Refuse to witness the waste and ask the coworker to notify the charge nurse A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF. Two hours after admission you notice the patient now has ST elevation in each of those leads. What should you do NEXT? - Initiate STEMI team A patient is admitted to the PCU with COPD exacerbation. Which of the following assessment findings would you expect to find knowing that the patient has been taking prednisone 40 mg PO once daily for 18 years? - Hyperglycemia A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab values supports confirmation of this diagnosis? - Hgb of 5.2 A patient is on strict I&Os with an indwelling urinary catheter. 4 hours into your shift you notice that there is a total of 50 mL of urine in the bag. You notify the provider because you recognize that adequate urine output should be: - 30 mL/hr A patient was involved in a motor vehicle accident and CAT scan results reveal a right sided SDH. What would be an expected neurological assessment finding in this patient? - Dilated right pupil A patient with a history of acute seizure activity of unknown etiology is admitted to the PCU from the ED. Which of the following orders would you expect to receive from the admitting provider? - Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should you do FIRST? - Prepare to administer 2 units PRBCs