Prophecy medical surgical-telemetry Exam Questions And Answers

Prophecy
medical
surgical-telemetry
You
are
to
obtain
informed
consent
for
a
Spanish-speaking
patient
scheduled
for
surgery.
You
do
not
speak
Spanish
and
are
having
difficulty
communicating
with
your
patient.
Which
of
the
following
resources
would
be
most
appropriate
to
utilize
in
order
to
obtain
consent?
-
ANS
The
hospital's
language
interpreter
You're
reviewing
the
discharge
medication
list
of
a
patient
diagnosed
with
gastric
ulcer.
Which
of
the
following
medications
should
you
question?
-
ANS
Acetylsalicylic
acid
(
Bauer
buffered
aspirin)
When
taking
care
of
a
patient
with
pancreatitis,
which
of
the
following
lab
should
be
reviewed?
-
ANS
Lipase
and
amylase
You're
caring
for
a
12
hour
postoperative
parathyroidectomy
patient.
Which
assessment
finding
would
indicate
an
emergency?
-
ANS
Laryngeal
strider
Which
of
the
following
actions
would
be
considered
a
violation
of
Hyppa?
-
ANS
Looking
through
the
chart
of
a
coworker
admitted
to
your
unit
-
ANS
Sinus
tachycardia
You
are
taking
care
of
a
patient
who
is
admitted
for
left
flank
pain
with
a
kidney
stone
of
1.5
cm.
He
asks
you
about
the
procedure:
what
would
be
the
most
therapeutic
response?
-
ANS
Due
to
the
size
of
the
kidney
stone
it
is
an
appropriate
treatment?
NOT:Print
reading
materials
about
the
subject
and
give
it
to
the
patient
The
nurse
is
taking
care
of
a
patient
who
is
terminally
ill
and
has
a
DNR
on
file.
Their
patient
has
a
sudden
cardiac
arrest
and
the
family
wants
CPR
initiated.
How
should
you
respond?
-
ANS
Honor
the
patient's
wishes
-
ANS
Not
normal
sinus
rhythm
into
a
flutter
Correct
answer
is
ventricular
fibrillation
Your
patient
began
deteriorating
rapidly
after
complaining
of
shortness
of
breath.
And
ABG
was
drawn
and
the
results
are
pH?
HCO3
-
23.
These
values
indicate
the
patient
is
experiencing:
-
ANS Your
inserting
a
urinary
catheter
into
a
male
patient.
As
you
inflate
a
balloon,
the
patient
complains
of
discomfort
what
is
the
best
action?
-
ANS
Aspirate
the
fluid,
advance
the
catheter
farther,
then
re-inflate
the
balloon
When
assessing
a
patient,
you
notice
crepitus
on
the
right
upper
shoulder.
You
notify
the
physician
and
anticipate
which
diagnosis?
-
ANS
Subcutaneous
emphysema
You
are
providing
patient
education
to
a
patient
prior
to
administering
IV
Protonix....
When
there
is
no
history
of
GERD
-
ANS
Protonix
is
given
as
G.I.
prophylaxis
to
prevent
stress
ulcers
-
ANS
Normal
sinus
with
VTach
The
patient
has
a
morphine
PCA
post
operatively.
On
rounding
you
notice
respirations
at
eight
per
minute
O2
saturation
of
82%.
What
medication
would
be
given
in
the
situation?
-
ANS
Narcan
You
were
caring
for
a
patient
who
is
18
hours
postop
after
a
right
BKA
a.
They
report
sudden
chest
pain
pulse
ox
at
86%.
The
patient
may
be
experiencing:
-
ANS
Pulmonary
embolism
Cardiac
strip
-
ANS
Unable
to
determine
At
0500,
you
know
your
patient
to
be
diaphoretic,
clammy,
and
their
hands
are
shaking.
The
patient's
blood
sugar
is
currently
60.
Which
of
the
following
is
the
most
appropriate
intervention
-
ANS
Have
the
patient
drink
120
ML's
of
orange
juice
-
ANS
Ventricular
tachycardia
-
ANS
Normal
sinus
rhythm
Which
of
the
following
food
items
would
you
question
in
the
menu
of
your
patient
who
is
diagnosed
with
celiac
disease?
-
ANS
Wheat
bread
A
postoperative
laparoscopic
appendectomy
patient
is
receiving
morphine
PCA
for
pain
findings
with
alert
you
to
the
potential
of
a
narcotic
overdose?
-
ANS
A
respiratory
rate
of
8
breaths
per
minute
-
ANS
Paced
rhythm
Your
patient
was
admitted
with
severe
dehydration.
Which
of
the
following
orders
would
you
question
-
ANS
KCI
40
mEq
IV
push
STAT
What
is
the
first
sign
of
increased
intracranial
pressure?
-
ANS
Change
in
LOC