NRNP6566 2021 June Week 8 Knowledge Check Latest

NRNP6566 Advanced Care of Adults in Acute Settings I

Week 8 Knowledge Check  

Question 1          The APRN has determined that a 21 year old motor vehicle crash victim needs a rapid sequence intubation. The patient weighs 77 kg. What medications are indicated to successfully achieve the rapid sequence intubation?                                           

Question 2          A 13 year old girl is evaluated in urgent care for a large wound on her left forearm. She complains of severe pain, is crying, and is rocking on the bed due to pain. The APRN is planning on how to repair the laceration and is considering utilizing ketamine for procedural sedation. What are the benefits and risks of this drug? What monitoring would be indicated if utilized?                                   

Question 3          A 44 year old man was given fentanyl to achieve moderate sedation for a colonoscopy. During the procedure, the patients oxygen saturation begins to decline and while assessing the patient the NP notices chest wall rigidity. What is the cause of the rigidity and how would you treat it?                                     

Question 4          What type of ICU sedation would be appropriate for a 32 year old male patient who is intubated with bilateral chest tube following a motor vehicle crash.                                       

Question 5          A 77 year old man fell and suffered a laceration across his upper right lip. The APRN decides to utilize a block for pain control which suturing the laceration. What type of block and what medication would be appropriate for this patient?                                              

Question 6          A 66 year old man in undergoing a bronchoscopy in the ICU. He is given midazolam pre-procedure. During the procedure, the patients respiratory rate and oxygen saturation starts de-creasing. What action should the NP take?                                               

Question 7          A patient receiving propofol for bronchoscopy in the ICU becomes unresponsive to verbal or tac-tile stimulation. His pulse oximeter reads 85%. What action should the NP take to improve the patient’s oxygenation?

Question 8          A 66 year old man is admired to the ICU with respiratory distress and bilateral pneumonia. He has a history of a CVA 2 years ago with right hemiplegia and aphasia. Current vitals signs are T 98.8 HR 115 BP 170/99. RR 32. Oxygen saturation is 90% on a nonrebreather mask. The patient weighs 70 kg. The NP decides to perform a rapid sequence intubation. What medications and doses would be appropriate for this patient?                                               

Question 9          The NP is beginning to repair a laceration on a 22 year old female. The patient mentions that she is allergic to lidocaine. What medication would be an appropriate alternative for this patient?                                       

Question 10        Describe the levels of sedation (minimal, moderate, deep, general anesthesia, and dissociation) and its affect on consciousness, airway, ventilation, and reflexes.