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UESTIONS WITH CORRECT ANSWERS 2025
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UsingC theC SBARC format,C identifyC theC info.C NurseC AllysonC receivedC fromC reportC thatC willC enableC herC t
CoC provideC safeC careC toC Mr.C Jones.C -C CORRECTC ANSWERC -S-C Situation
TheC EDC admittedC Mr.C JonesC atC 4:30C AMC forC SOBC andC weakness.C AfterC treatment,C heC isC transferringC
tCoC theC telemetryC unit.
BC -C Background
60C yearC oldC African-
AmericanC maleC withC aC historyC ofC peripheralC vascularC disease,C typeC 2C diabetes,C chronicC kidneyC diseas
Ce,C coronaryC arteryC disease,C andC atrialC fibrillation.C AC providerC recentlyC dischargedC himC fromC theC facili
tCyC afterC heC treatedC Mr.C JonesC forC atrialC fibrillationC andC aC typeC 2C diabeticC ulcerC ofC theC rightC foot.C Mr.
C JConesC didC notC completeC prescribedC antibioticsC afterC hisC discharge.C HeC isC nonC compliantC inC managi
ngChisC diabetes.C HeC smokesC oneC packC ofC cigarettesC aC dayC andC usesC alcoholC 3C toC 5C timesC aC week.
AC -C Assessment
Mr.C JonesC isC awake,C alert,C andC orientatedC x3.C CurrentC vitalsC are:C BPC 112/70,C P:C 158,C R:C 34,C T:C 99.1,C
aCndC O2C satC 91%C onC 2C LC viaC nasalC cannula.C ECGC indicatesC atrialC fibrillation;C placedC onC telemetry.C Ch
estCx-
ray:C opacitiesC greaterC inC theC rightC lungC thanC leftC lung.C AlteredC labC valuesC include:C sodiumC 128,C pota
sCsiumC 5.1,C BUNC 44,C creatinineC 3.0,C andC glomerularC filtrationC rateC 25.C HisC totalC bilirubinC wasC 2.8,C ca
lciCumC 8.7,C WBCsC 16.1,C hemoglobinC 9.3,C hematocritC 28.2,C andC bloodC glucoseC 71.C WeC didC aC digoxinC le
vel
,C whichC wasC 0.6.C HeC hasC aC soiledC dressingC onC hisC rightC footC andC isC aC stageC IIIC ulcer.C AC #20C gaugeC I
VCcatheterC wasC insertedC peripherallyC inC hisC leftC forearmC andC aC nurseC gaveC himC 1,000C mLC ofC 0.9%C sod
iuCmC chloride.C Intake:C 1,000C mLC Output:C None.C NoC familyC present.
NurseC AllysonC isC preparingC toC performC aC sterileC dressingC changeC toC Mr.C Jones'sC foot.C AfterC removing
CtheC examC gloves,C performingC handC hygiene,C andC gatheringC theC neededC supplies,C whatC areC theC nextC
sCtepsC NurseC AllysonC shouldC takeC forC theC dressingC change?C -C CORRECTC ANSWERC -
1. ApplyC cleanC gloves.
2. RemoveC dressingC andC placeC inC moisture-proofC bag.
3. RemoveC cleanC gloves.
4. WashC hands.
5. ApplyC sterileC gloves.
6. CoverC withC sterileC gauze.
7. SecureC dressing.