You have been providing bag-mask ventilation to a newborn with a sustained heart rate of 75 beats/min for approximately 5 minutes. The infant's abdomen is markedly distended. Although you are properly trained, your protocols do not allow you to intubate newborns. The MOST appropriate intervention involves:
A) intubating immediately.
B) suctioning the oropharynx.
C) inserting an orogastric tube.
D) manual gastric decompression.
Ans: C) inserting an orogastric tube.
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You are caring for a patient in the ICU whose condition is deteriorating. You receive orders for dopamine, which is an intravenous vasoactive drug
What would be your priority assessment and interventions specific to the administration of vasoactive medications? A) Frequent vitals, monitoring the central line site, and providing accurate drug titration B) Reviewing medications, performing a focused cardiovascular assessment, and providing patient education C) Reviewing the laboratory findings, monitoring urine output, and assessing for peripheral edema D) Routine vitals, monitoring the peripheral IV site, and providing early discharge instructions
The nurse is reviewing medication errors. Which situation is an example of a medication error?
a. A patient refuses her morning medica-tions. b. A patient receives a double dose of a medication because the nurse did not cut the pill in half. c. A patient develops hives after having started an IV antibiotic 24 hours earlier. d. A patient complains of severe pain still present 60 minutes after a pain medication was given.
If you have multiple patients to feed it is best to
A) tell your supervisor. B) cover the trays and get to them as soon as possible. C) let the patient wait. D) stagger the delivery of meals.
You scan a medication on a patients MAR and get a warning that the dose you are giving is higher than the ordered dose. What should you do?
A. Select and override reason for the alert and continue administering the medication B. Scan the patient's barcode to confirm you have the right patient's chart option C. Click partial package and manually enter the dose actually given D. Stop administering the medication and send the medication back to pharmacy