Prophecy medical surgical-telemetry
QUESTIONS AND DETAILLED ANSWERS
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? - ANSWER>>The hospitals language interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric
ulcer. Which of the following medication should you question? -
ANSWER>>Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should
be reviewed? - ANSWER>>Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which
assessment finding would indicate an emergency? - ANSWER>>Laryngeal strider
Which of the following actions would be considered a violation of Hyppa? -
ANSWER>>Looking through the chart of a coworker admitted to your unit
- ANSWER>>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? - ANSWER>>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 family wants CPR initiated. How
should you respond? - ANSWER>>Honor the patient's wishes
- ANSWER>>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: - ANSWER>>
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the
patient complains of discomfort what is the best action? - ANSWER>>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? - ANSWER>>Subcutaneous
emphysema
You are providing patient education to a patient prior to administering IV
Protonix.... When there is no history of GERD - ANSWER>>Protonix is given as G.I.
prophylaxis to prevent stress ulcers
- ANSWER>>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? - ANSWER>>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: -
ANSWER>>Pulmonary embolism
QUESTIONS AND DETAILLED ANSWERS
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? - ANSWER>>The hospitals language interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric
ulcer. Which of the following medication should you question? -
ANSWER>>Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should
be reviewed? - ANSWER>>Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which
assessment finding would indicate an emergency? - ANSWER>>Laryngeal strider
Which of the following actions would be considered a violation of Hyppa? -
ANSWER>>Looking through the chart of a coworker admitted to your unit
- ANSWER>>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? - ANSWER>>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 family wants CPR initiated. How
should you respond? - ANSWER>>Honor the patient's wishes
- ANSWER>>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: - ANSWER>>
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the
patient complains of discomfort what is the best action? - ANSWER>>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? - ANSWER>>Subcutaneous
emphysema
You are providing patient education to a patient prior to administering IV
Protonix.... When there is no history of GERD - ANSWER>>Protonix is given as G.I.
prophylaxis to prevent stress ulcers
- ANSWER>>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? - ANSWER>>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: -
ANSWER>>Pulmonary embolism
