Prophecy medical surgical-telemetry

Prophecy medical surgical-telemetry Questions And Answers - Normal sinus rhythm - Normal sinus with VTach - Not normal sinus rhythm into a flutter Correct answer is ventricular fibrillation - Paced rhythm - Sinus tachycardia - Ventricular tachycardia A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of: - Pulmonary embolism? NOT: tuberculosis A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is most likely to be ordered? - Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? - A respiratory rate of 8 breaths per minute After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? - NOT: ammonia 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 - Have the patient drink 120 ML's of orange juice Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter - 1520 cardiac rhythm - V-Tach Cardiac strip - Sinus rhythm with PAC Cardiac strip - Unable to determine Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the first time two hours after the orders received. What should be done with this urine sample? - Discarded, then begin the 24 hour collection Didn't nurse ask you about the typical signs and symptoms of myocardial infarction - Women could have pain in their arm, neck, back or jaw Heart rate - 80 One of the signs of left sided heart failure is: - Pulmonary edema NOT: pedal edema Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response? - Educate the spouse on oxygen use as a medical device in the hospital The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - 4ml The Glasgow, scale ranges from: - 3 to 15 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 family wants CPR initiated. How should you respond? - Honor the patient's wishes 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? - Narcan What information is vital for you to know prior to administering an ordered dose of digoxin - Heart rate What is the first sign of increased intracranial pressure? - Change in LOC When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and anticipate which diagnosis? - Subcutaneous emphysema When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: - Protecting the patient's head and extremities from contact with surrounding objects When taking care of a patient with pancreatitis, which of the following lab should be reviewed? - Lipase and amylase Which of the following actions would be considered a violation of Hyppa? - Looking through the chart of a coworker admitted to your unit Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye - Metformin Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? - Sputum with streaks of blood NOT: increased salivation Which of the following electrolyte value should be Addressed immediately by the nurse - Potassium 2.5 mEq/L Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? - Wheat bread Which of the following issues should be reported up the chain of command - A coworker arriving to work under the influence of alcohol Which of the following lab values would you expect to see in a patient diagnosed with?.... - Lipase - 196 Which of the following medication may cause urine discoloration - Rifampin While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to sign for the ways that you did not witness - Refused to sign for the waste You are providing patient education to a patient prior to administering IV Protonix.... When there is no history of GERD - Protonix is given as G.I. prophylaxis to prevent stress ulcers You are taking care of a patient who is admitted