Prophecy General ICU RN (ProphecyGeneralICURN)

Prophecy PACU RN A v1 Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the PACU. Meperidine is available in 50mg/1ml. How many milliliters should be given? - ANS 0.25 milliliters Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What should you do? - ANS A) Position the patient on their side B) Place the patient in a prone position C) Check the epidural line for kinks ***D) Contact the anesthesia ...

Neurology ICU prophecy

Prophecy RN Pharmacology A Which of the following medications is known to cause orange-colored urine? - ANS phenazopyridine (Pyridium) You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you do next? - ANS Hold digoxin and call the provider Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: - ANS Normal S...

Prophecy OR What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side-lying position - ANS Axillary Roll You are the circulating nurse confirming consent with a patient scheduled for an exploratory laparotomy with colostomy. The patient states they do not want a colostomy. What should you do? - ANS Do not take the patient to the operating room and consult the surgeon immediately What equipment is most important for ...

Prophecy RN B v3 When setting up a room for a new patient, what emergency equipment MUST be accessible and working at the bedside? - ANS Bag Valve mask You are on shift and overhear another nurse discussing confidential patient information on their cell phone during their break. What would be the BEST action to take? - ANS Speak with the nurse in private afterwards to remind her of HIPAA regulations What should you monitor for a patient at risk for respiratory depression...

Pharmacology ICU prophecy Benzo overdose - ANS Romazicon Opiate overdose - ANS Narcan Beta blocker contraindication - ANS Asthmatics Heparin overdose - ANS Protamine sulfate Coumadin overdose - ANS Vitamin K Renal diet - ANS Low phos, low K+, mod protein Coumadin diet - ANS Low vitamin k Antipsychotic effects on EKG and CNS - ANS Clozapine: anticholinergic effects (constipation, urinary retention, dry m...

ICU Prophecy - CV Asymptomatic bradycardia treatments - ANS What is cardiac tamponade? - ANS Fluid in the pericardial sac causing decreasing preload. This decreases SV and ultimately CO. Effects of Hyper/Hypokalemia and calcemia on EKG - ANS Hypokalemia causes U waves Hyperkalemia causes peaked T waves Normal BP? - ANS 90-120/60-80 Normal HR? - ANS 60-100 bpm Normal CO? - ANS 4-8 L/min Normal SVR? - ANS 80...

Prophecy general ICU A V3 One of your patients coded but is now stabilized and you are catching up on charting. The step-down unit calls to get a report on your other patient who is to be transfered. The nurses near you do not appear busy. How should you prioritize your time? - ANS Give a report and ask the nurses to prepare the patient for transfer. Your patient was intubated but still has oral medications on their list of medications. How should you ensure they receive their medica...

Prophecy General ICU RN A v2 Common complications of massive transfusions are - ANS Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L - ANS Metabolic Acidosis Long term use of TPN may lead to: - ANS Liver Failure Which of the following is a potential complication of high PEEP - ANS Pneumothorax What is a common assessment finding for a patient returning from a small bowel resection? - ANS ...