Relias
medical
surgical
RN
A
Which
adaptive
equipment
would
be
most
appropriate
to
use
for
a
severely
contracted
patient
who
is
unable
to
bear
weight
when
transferring
from
bed
to
chair
-
ANS
Patient
Lift
example
hoyer
What
lab
values
are
expected
to
be
in
a
patient
with
end
stage
renal
disease
on
hemodialysis
-
ANS
BUN
32,
CREATININE
8.32
Your
85
year
old
patient
with
atrial
fibrillation
fell
at
home
3
days
ago.
You
notice
she
has
been
having
several
episodes
of
acute
confusion
since
being
admitted
to
your
unit.
What
is
the
most
important
order
you
should
anticipate
from
the
provider?
You're?
-
ANS
Hold
wayfaring
(coumadin)
for
the
next
48
hours
Your
new
admission
presents
with
a
cough,
unintentional
weight
loss,
frequent
knot
sweats,
and
bloody
sputum.
What
type
of
isolation
precautions
should
you
initiate,
if
any?
-
ANS
Airborne
precautions
Upon
entering
your
patient's
room
you
note
that
they
are
having
a
seizure.
What
is
your
1st
action?
-
ANS
Position
the
patient
on
their
side
to
maintain
the
airway
You
find
your
coworker
looking
through
your
patient's
medical
record..
She
States
how
is
Mr.
Smith
doing?
He
is
my
best
friend's
dad.
We
are
so
worried
about
him.
What
is
the
best
course
of
action?
-
ANS
Tell
her
you
cannot
give
her
information
and
report
her
actions
to
your
manager.
Your
male
patient
complains
of
discomfort
while
inflating
the
balloon
during
insertion
of
an
indwelling
urinary
catheter.
What
would
be
the
most
appropriate
action?
-
ANS
Deflate
the
balloon,
advance
the
catheter
further,
then
reinflate
the
balloon.
Your
patient
takes
regular
insulin
and
NPH
twice
A-day
for
glucose
control.
What
times
should
the
patient
be
taught
to
be
alert
for
signs
of
hypoglycemia?
-
ANS
Is
late
afternoon
and
early
morning
What
is
a
proton
pump
inhibitor,
such
as
pantoprazole
(protonix)
used
for?
-
ANS
Reduce
gastric
acid
secretion
Your
patient
has
a
non
productive
cough
and
presence
of
secretions
in
his
tracheostomy.
Prior
to
sectioning
the
patient,
what
should
you
do
1st?
-
ANS
Hyperoxygenate
patient dietary
teaching
for
a
patient
with
chronic
renal
failure
should
include
choices
that
are:
-
ANS
Low
potassium,
low
protein,
moderate
fat
Which
of
the
following
nursing
diagnosis
is
most
important
for
a
patient
with
chronic
obstructive
pulmonary
disease(COPD)
-
ANS
Impaired
gas
exchange
Your
patient
is
admitted
from
the
ED
with
failure
to
thrive
and
advanced
dementia.
You
note
he
is
extremely
underweight,
appears
unbathed
for
some
time,
and
has
a
stage
4
pressure
injury
to
his
coccyx.
You
were
told
in
report
that
he
lives
at
home
with
family
members.
What
should
you
do?
-
ANS
Notify
the
charge
nurse
and
social
worker
of
your
concerns.
You
have
a
patient
going
for
dialysis.
There
are
medications
include
Lisinopril(prinivil),
ondansetron
(zofran),
famotidine(pepcid)
and
atorvastatin(lipitor).
Which
medication
would
you
possibly
hold
and
seek
clarification?
-
ANS
LISINOPRIL(PRINIVIL)
What
is
the
best
indication
of
an
acute
neurological
problem?
-
ANS
Change
in
level
of
consciousness
Your
patient
is
admitted
with
diverticulitis.
What
type
of
diet
do
you
expect
to
be
ordered
for
the
patient?
-
ANS
Clear
liquids
Which
tool
should
you
use
to
assess
pain
in
your
80
year
old
patient
with
severe
dementia?
-
ANS
?
Your
post
op
patient
has
a
Jackson
-
Pratt
drain
in
place.
how
do
you
ensure
effective
drain
function?
-
ANS
Compress
the
drain,
then
plug
the
bulb
to
establish
suction.
Is
a
patient
with
peritonitis
Presents
with
tachycardia,
hypotension
,
and
dehydration.
What
other
assessment
finding
would
you
anticipate
as
part
of
your
physical
assessment?
-
ANS
Severe
abdominal
pain
or
rebound
tenderness
Your
patient
with
a
known
history
of
diabetes
is
displaying
symptoms
of
diaphoresis,
Cool
skin,
lethargy,
And
shakiness.
What
is
your
1st
action?
-
ANS
Check
the
patient's
blood
glucose
level
a
patient
on
warfarin(Coumadin/jantoven)
has
an
INR
of
6.
Which
medication
would
you
anticipate
administering?
-
ANS
Vitamin
K
While
in
a
supine
position
your
patient
States"
I'm
tired
and
cannot
catch
my
breath".
Physical
assessment
reveals
juggler
vein
distention
and
a
3rd
heart
sound(S3).
These
symptoms
are
indicative
of
what
condition?
-
ANS
Heart
failure
Upon
entry
to
your
patient's
room,
you
find
her
sitting
in
high
Fowler's
Position
and
complaining
of
shortness
of
breath.
Her
respiratory
rate
is
34
breaths/minute
And
02
sat
is
84%.
Which
medical
surgical
RN
A
Which
adaptive
equipment
would
be
most
appropriate
to
use
for
a
severely
contracted
patient
who
is
unable
to
bear
weight
when
transferring
from
bed
to
chair
-
ANS
Patient
Lift
example
hoyer
What
lab
values
are
expected
to
be
in
a
patient
with
end
stage
renal
disease
on
hemodialysis
-
ANS
BUN
32,
CREATININE
8.32
Your
85
year
old
patient
with
atrial
fibrillation
fell
at
home
3
days
ago.
You
notice
she
has
been
having
several
episodes
of
acute
confusion
since
being
admitted
to
your
unit.
What
is
the
most
important
order
you
should
anticipate
from
the
provider?
You're?
-
ANS
Hold
wayfaring
(coumadin)
for
the
next
48
hours
Your
new
admission
presents
with
a
cough,
unintentional
weight
loss,
frequent
knot
sweats,
and
bloody
sputum.
What
type
of
isolation
precautions
should
you
initiate,
if
any?
-
ANS
Airborne
precautions
Upon
entering
your
patient's
room
you
note
that
they
are
having
a
seizure.
What
is
your
1st
action?
-
ANS
Position
the
patient
on
their
side
to
maintain
the
airway
You
find
your
coworker
looking
through
your
patient's
medical
record..
She
States
how
is
Mr.
Smith
doing?
He
is
my
best
friend's
dad.
We
are
so
worried
about
him.
What
is
the
best
course
of
action?
-
ANS
Tell
her
you
cannot
give
her
information
and
report
her
actions
to
your
manager.
Your
male
patient
complains
of
discomfort
while
inflating
the
balloon
during
insertion
of
an
indwelling
urinary
catheter.
What
would
be
the
most
appropriate
action?
-
ANS
Deflate
the
balloon,
advance
the
catheter
further,
then
reinflate
the
balloon.
Your
patient
takes
regular
insulin
and
NPH
twice
A-day
for
glucose
control.
What
times
should
the
patient
be
taught
to
be
alert
for
signs
of
hypoglycemia?
-
ANS
Is
late
afternoon
and
early
morning
What
is
a
proton
pump
inhibitor,
such
as
pantoprazole
(protonix)
used
for?
-
ANS
Reduce
gastric
acid
secretion
Your
patient
has
a
non
productive
cough
and
presence
of
secretions
in
his
tracheostomy.
Prior
to
sectioning
the
patient,
what
should
you
do
1st?
-
ANS
Hyperoxygenate
patient dietary
teaching
for
a
patient
with
chronic
renal
failure
should
include
choices
that
are:
-
ANS
Low
potassium,
low
protein,
moderate
fat
Which
of
the
following
nursing
diagnosis
is
most
important
for
a
patient
with
chronic
obstructive
pulmonary
disease(COPD)
-
ANS
Impaired
gas
exchange
Your
patient
is
admitted
from
the
ED
with
failure
to
thrive
and
advanced
dementia.
You
note
he
is
extremely
underweight,
appears
unbathed
for
some
time,
and
has
a
stage
4
pressure
injury
to
his
coccyx.
You
were
told
in
report
that
he
lives
at
home
with
family
members.
What
should
you
do?
-
ANS
Notify
the
charge
nurse
and
social
worker
of
your
concerns.
You
have
a
patient
going
for
dialysis.
There
are
medications
include
Lisinopril(prinivil),
ondansetron
(zofran),
famotidine(pepcid)
and
atorvastatin(lipitor).
Which
medication
would
you
possibly
hold
and
seek
clarification?
-
ANS
LISINOPRIL(PRINIVIL)
What
is
the
best
indication
of
an
acute
neurological
problem?
-
ANS
Change
in
level
of
consciousness
Your
patient
is
admitted
with
diverticulitis.
What
type
of
diet
do
you
expect
to
be
ordered
for
the
patient?
-
ANS
Clear
liquids
Which
tool
should
you
use
to
assess
pain
in
your
80
year
old
patient
with
severe
dementia?
-
ANS
?
Your
post
op
patient
has
a
Jackson
-
Pratt
drain
in
place.
how
do
you
ensure
effective
drain
function?
-
ANS
Compress
the
drain,
then
plug
the
bulb
to
establish
suction.
Is
a
patient
with
peritonitis
Presents
with
tachycardia,
hypotension
,
and
dehydration.
What
other
assessment
finding
would
you
anticipate
as
part
of
your
physical
assessment?
-
ANS
Severe
abdominal
pain
or
rebound
tenderness
Your
patient
with
a
known
history
of
diabetes
is
displaying
symptoms
of
diaphoresis,
Cool
skin,
lethargy,
And
shakiness.
What
is
your
1st
action?
-
ANS
Check
the
patient's
blood
glucose
level
a
patient
on
warfarin(Coumadin/jantoven)
has
an
INR
of
6.
Which
medication
would
you
anticipate
administering?
-
ANS
Vitamin
K
While
in
a
supine
position
your
patient
States"
I'm
tired
and
cannot
catch
my
breath".
Physical
assessment
reveals
juggler
vein
distention
and
a
3rd
heart
sound(S3).
These
symptoms
are
indicative
of
what
condition?
-
ANS
Heart
failure
Upon
entry
to
your
patient's
room,
you
find
her
sitting
in
high
Fowler's
Position
and
complaining
of
shortness
of
breath.
Her
respiratory
rate
is
34
breaths/minute
And
02
sat
is
84%.
Which
