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Scenario interview questions. I would elevate the HOB, get vitals, but primarily RR and sp. I would apply 0. 2, auscultate the chest then check the mar for a bronchodilator order either via MDI or nebulizer. If none ordered, I would call the doctor and get an order for same. I would give pt the bronchodilator (usually ventolin), and then reassess a few minutes later, asking them to call before I get back if they are not improving/worsening. I would chart this following my initial assessment (entered room, pt c/o difficulty breathing and noted to be short of breath. Auscultated chest for . PRN ventolin 4 puffs given via spacer, (or order received.. RR now . Will continue to monitor closely and give more frequent PRN/receive order for more frequent PRN if required. I would go to the transfusion reaction first, stopping the transfusion, taking down the lines and saving for lab, and start running NS bolus. If there is another nurse present for the transfusion (As someone else had mentioned), I would have them notify the Dr and supervisor . Benadryl IV, perhaps epi depending on reaction, etc. If there is no other nurse available I will have to do these things myself first and stabilize this patient before moving on. Next I will go to the patient in shock. I will need to know what type of shock they are in before proceeding.. If someone is available to sit with this patient while the first bolus is infusing I will run over to the other patient with low blood pressure. I will need to determine why it is low (dehydration, medication, bleeding, ETC), and then address the issue. They may need a bolus as well, or it may be caused by something else. I would have to assess perfusion, cap refill, temp of extremities etc. If they need a bolus, I would get an order and initiate this. I would quickly go back to my patient with shock and continue to treat, reassessing with another head to toe, vitals, etc. Why are they non communicative? If it is, for example a stroke patient and this is their baseline I would ensure we are doing frequent b. Since the patient will be unable to tell us if they are feeling low or high, we will need to be especially vigilant and watch for any change in LOC, tremors, etc. Frequent monitoring will be our best friend here. Expect orders for chest X- ray, blood cultures, CBC, CRP, blood gases, and perhaps other related labs depending on what meds they are on. Possibly may be looking at starting IV antibiotics at some point in the near future. If RR doesn't settle down with 0. Doctor should also come and assess. I'm not entirely sure as I don't work with ventilators but my best bet would be first to assess the patient- is chest rise equal, any deviation of trachea? Are breath sounds equal? Then I would look to the tube- is it dislodged? Is there something wrong with the machinery itself? If I couldn't resolve it here, I would ask for someone to call RT and if necessary I could manually bag the patient until they arrive. All of these have so many factors. If I know the person in pain is not due for meds yet, I will also try to quickly get the OR case ready. If the pt in pain is able to have meds and the OR case is non emergent, I will try to quickly provide pain relief to this pt or delegate for someone else to provide pain relief. If the floor has aids, I would get one of them to toilet the patient while I prep the OR case. Next I will go to the patient who feels sick and assess. I may need to provide some anti emetics, depending on what they mean by . Finally I will go to the person who wants someone to sit with them and apologize for the delay stating we had been busy but now I have everything taken care of so I can spend time with you and we can talk about what is going on without being interrupted. Unfortunately I am not familiar with their case or care as I have a full case load of my own. I can get the charge nurse for you to discuss your concerns with. Again, depends on the whole clinical picture. Have they been having narcotics and are now nauseated and vomiting from same? Are we suspecting septic shock, or any type of shock? If it is asymptomatic low bp from a non shock situation, and vomiting from something seemingly benign (aka not a bowel obstruction or something more serious). I would go provide an emesis basin to the patient vomiting, a cool cloth for their head, and check the MAR for anti emetics, preferably IV. If none ordered, I will call for an order. After giving meds, I will go to the low bp and assess, if they are low due to dehydration or low po intake I will perhaps need to initiate a bolus and/or oral rehydration. If it is due to shock or something more serious I would've seen this patient first. These questions are a little hard to answer due to the very sparse detail given, it is not like a true clinical situation where you would have much more detail and therefore it would be much easier to prioritize who to see first. Our interview questions here in eastern Canada are more like these than the : Tell me about yourself, where do you see yourself in 5 years, whats your biggest strength etc. But ours are often more clear with a bit more detail. Or, more open ended on one topic like question #1, which are easier to answer and give you a chance to really share your knowledge (ie. You have a newly diagnosed diabetic, what would you be teaching them in the first few days of admission?- I really nailed that one, they ran out of room : P ). RV Roof Repair is now easier and less stressful with our selection of RV Roof Repair Kits by Quick Roof and EternaBond. Whether your RV roof be aluminum or rubber we. Semi trailer roof repair, container roof repair, conatiner roof seal. 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