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The Patient: A 70-year-old male who is relatively healthy.
The Situation: A liquid medication is prescribed for this patient.
The Question: Prior to administering the prescribed medication,
what intervention has the highest priority? - ✔✔Determine if the
patient is allergic to the medication
The Patient: A young adult woman has smoked since she was 12
years old.
The Situation: The patient is complaining of "skipped heart beats".
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,The Question: Which instruction is most important for the nurse to
provide this patient? - ✔✔Call for assistance if she feels weak or
dizzy when getting out of bed.
The Patient: An older male adult who lives at home alone.
The Situation: The on-call home healthcare nurse is having dinner
with family members in a restaurant when the patients calls on the
cell phone.
The Question: What action should the nurse take? - ✔✔Leave the
table so the nurse can take the call in a private area.
The Patient: An adult with diabetes mellitus who was just given a
morning dose of insulin which lowers the blood sugar.
The Situation: The Patients breakfast tray arrives, and the nurse
notices that the pancake syrup and sugar pancakes have not
been substituted with products containing artificial sweeteners.
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, The Question: What should the nurse do first in this situation? -
✔✔Call the dietary department and request another tray.
Or
Remove foods containing sugar and offer sugar substitutes.
The Patient: A 55-year-old female with a family history of
hypertension.
The Situation: The patient is concerned about her health and
states "I have had severe headaches for the last six months. I
think I might have high blood pressure." The nurse determines
that the woman's blood pressure is 138/86 (high normal).
The Question: What action would be best for the nurse to take? -
✔✔Ask the patient about the frequency, timing, and quality of her
headaches..
The Patient: A terminally ill male.
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