Solutions
A patient had a right below the knee amputation (BKA) 4 days ago. His
incision is healing well, and he has gotten out of bed several times. Each time
after returning to bed, he has experienced pain as if it were located in his right
foot. The nurse should explain to the patient that: Right Ans - it is phantom
pain and may occur because the nerves still carry pain sensation to the brain,
even though the limb has been amputated. The pain is real and intense; it
should be treated as such.
The nurse is reviewing discharge instructions with a patient who received
treatment in the Emergency Department for epistaxis. Which of the following
statements is correct? Right Ans - "Open your mouth while sneezing."
Following a motor vehicle accident, a young adult male presents to the
emergency room with a bruise on his forehead. On initial assessment, the
patient is oriented to himself, but is not able to state the current time or
situation. Which diagnosis would the nurse suspect? Right Ans -
Concussion
A 36-year-old female presents to the Emergency Department reporting pelvic
pain that started several hours ago, dizziness, and left shoulder pain. Her
heart rate is 128 beats per minute and her blood pressure is 100/52; a urine
pregnancy test is positive. The provider should immediately evaluate this
patient for: Right Ans - ectopic pregnancy.
Which of the following diagnoses is a surgical emergency? Right Ans -
Testicular torsio
A 72-year-old female patient presents to the Emergency Department
reporting substernal chest pain that she describes as "ripping"; it radiates into
her back and is associated with cough and shortness of breath. Her blood
pressure is 150/90 and her heart rate is 110. The emergency nurse
anticipates administering: Right Ans -
What is the priority when assessing a patient with dysphagia who has
experienced a cerebrovascular accident (CVA)? Right Ans - Airway