Questions And answer latest upload 2024/ 2025 with
100% verified solutions
What s/s would you expect a pt with digoxin toxicity to exhibit? - ANSWER-muscle fatigue
& confusion
Which of the following indicates client understanding of their digoxin prescription? -
ANSWER-I will not take antacids at the same time as my digoxin
Which assessment finding indicates fluid overload? - ANSWER-crackles in the lungs upon
auscultation
What education would you give a pt with HF? - ANSWER-increase K+
Which assessment finding indicates increased intracranial pressure? - ANSWER-decreased
level of consciousness
Which assessment findings would you expect in a pt who is 24hr post op receiving an
ostomy? - ANSWER-The stoma is bright red, smooth and moist (turns pink after 2-3 weeks)
Appropriate oropharyngeal suctioning; select all: - ANSWER--encourage pt to deep breath &
cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
How would you promote healing in an elderly pt? - ANSWER-increased fluids
which of the following is an expected outcome of a pt receiving KCL? - ANSWER-doesn't
experience any dysrrhythmias
Which of the following is an indication of a pt at risk of developing a sodium imbalance? -
ANSWER--vomiting
, -diarrhea
-enemas
-diuretics
Endoscopy (EGD) positioning - ANSWER-left side lying
Before an Endoscopy (EGD): - ANSWER--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANSWER--restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - ANSWER-flap furthest from body, side
flaps, then closest
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface
in preparation for an invasive procedure. Which of the following flaps should the nurse
unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - ANSWER-D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse touch without breaking sterile technique (Select all that
apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field