Swift River Simulation - Adult Medical Surgical - Ann Rails Questions and Answers Latest Version Already Passed

Swift River Simulation - Adult Medical Surgical - Ann Rails Questions and Answers Latest Version Already Passed Ann Rails is admitted with complaints of severe chest pain and shortness of breath. What should be the nurse’s first priority? Administer oxygen and assess vital signs to ensure adequate oxygenation. Ann has a history of hypertension and type 2 diabetes. What is the most important thing to monitor during her hospitalization? Blood pressure and blood glucose levels. Ann is receiving a diuretic for fluid overload. What should the nurse monitor closely for adverse effects? Electrolyte imbalances, particularly potassium levels. Ann reports feeling dizzy when standing up. What is the likely cause and what should be the nurse's action? Orthostatic hypotension; assist her with rising slowly and monitor her blood pressure. 2 Ann has an IV running at a rate of 100 mL/hr, but the IV site is showing signs of infiltration. What should the nurse do first? Discontinue the IV and assess the site for further complications. Ann has been prescribed a beta-blocker. What is an important teaching point for her? Teach her to monitor her heart rate and report any slow or irregular rhythms. Ann is scheduled for a stress test. What should the nurse instruct her to do prior to the procedure? Avoid eating or drinking for at least 4 hours before the test. Ann is receiving IV fluids and her intake is greater than her output. What is the nurse’s next step? Monitor her weight and assess for signs of fluid retention or edema. Ann is anxious about her upcoming surgery. What is the best way to address her concerns? Provide clear information about the procedure and encourage open communication. 3 Ann reports pain after a recent surgery. What is the most effective way for the nurse to assess her pain? Use a pain scale and ask Ann to rate her pain based on intensity. Ann is recovering from a myocardial infarction. What is the most important aspect of her care in the first 24 hours? Monitor cardiac rhythm and provide pain management as needed. Ann has a history of smoking and now presents with a productive cough. What is the nurse's priority action? Assess her lung sounds and oxygen saturation levels to evaluate respiratory function. Ann has been diagnosed with a UTI and is being started on antibiotics. What is a key nursing intervention? Encourage Ann to drink plenty of fluids to help flush out the infection. Ann's surgical wound appears red and swollen. What should the nurse do next? Assess the wound for signs of infection and notify the healthcare provider if necessary. 4 Ann is complaining of nausea after her medication. What should the nurse do first? Assess if the nausea is related to the medication and inform the provider. Ann is scheduled for an endoscopy. What should the nurse instruct her to do before the procedure? Inform her to fast for at least 8 hours prior to the procedure. Ann is reporting difficulty breathing and anxiety. What should the nurse do to help alleviate her anxiety? Encourage slow, deep breathing exercises and provide reassurance. Ann is at risk for deep vein thrombosis (DVT) after surgery. What is a key prevention strategy? Encourage early ambulation and use of compression