Practice Question
Identify when the nurse should call a Rapid Response for a client?
Answer Choices:
Correct Answer:
Blood glucose level 35
Rationale:
🟠 Rapid response is triggered by signs of acute deterioration: hypoglycemia, hypotension, arrhythmias, or no pulse.
🟠 Blood glucose <40 mg/dL is a critical hypoglycemic event.
🟠 New-onset tachycardia can precede cardiac arrest.
🟠 Pulselessness = Code Blue, needs immediate CPR.
🟠 Stable vitals = no urgent action.
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This question is from NR 341 Quiz which contains 10 questions.
More Questions from This Exam
Place the follows statements in order for SBAR. Correct Ordering
Answer Choices:
A. The client is reporting shortness of breath.
B. The client has a history of COPD and was admitted yesterday.
C. Lungs have crackles bilaterally, cap refill is less than 2 seconds, client is AAOx4.
D. Recommendation of chest x-ray.
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Answer Choices:
A. Nasopharyngeal airway
B. Endotracheal Tube
C. Bilevel positive airway pressure
D. Nasal canula
The nurse is reviewing the chart to ensure the VAP bundle has been ordered for a client who is intubated. Identify the orders included in the VAP bundle.
Answer Choices:
A. Elevate head of bed 30-45 degrees
B. Oral care with chlorhexidine
C. Ambulate every 2 hours
D. Daily SAT and SBT
E. DVT and stress ulcer prophylaxis
The nurse identifies continuous bubbling in the water seal chamber. What should the nurse do first?
Answer Choices:
A. Call the provider
B. Check the chest tube insertion site on the client
C. Assess the chest tube drainage system
D. Apply clamps to the chest tube tubbing
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pharmacology
- Answer Choices: 5