RELIAS MEDICAL SURGICAL-TELEMETRY EXAM QUESTIONS and Answers

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RELIASMEDICALSURGICALTELEMETRYEXAM
B B B B




2024 TEST BANK COMPLETE QUESTIONS AND
B B B B B B




CORRECT DETAILED ANSWERS WITH B B B




BRATIONALES(VERIFIEDANSWERS)|ALREADY B B B




GRADEDA+ B




Yourinsertingaurinarycatheterintoamalepatient.Asyouinflatea
B B B B




balloon,thepatientcomplainsofdiscomfortwhatisthebest
B B B B




action?-...ANSWER...Aspiratethefluid,advancethecatheter B B B B




farther,t henre-inflatetheballoon
B B




Whenassessingapatient, younoticecrepitusontheright upper
B B B B B




shoulder.Younotifythephysicianandanticipatewhichdiagnosis?
B B B




-...ANSWER...Subcutaneousemphysema
B B B




Yourpatientcontinuestopullattheir IVsitelocatedintheirleft
B B B B B




forearmdespiteverbalremindersandincreasedobservation.TheB B B B




nursingassistantrecommendsusingsoftmittrestraintsonthe
B B B B




patient.Whatisyourrecommendation?-...ANSWER...Request
B B B




anorderforsoftmittsastheyaretheleast restrictive
B B B




Yourpatientwasadmittedforahypertensivecrisisandhasahistory of
B B B B B B B B B




HTN, Parkinson'sdisease, depression,andalcoholuse. Onhis
B B B B B B B




secondhospitalizedday, younoticeheismoreanxious andrestless B B

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thanhisbaseline.WhatwouldbeyourFIRSTnursingintervention?
B B B B B




-...ANSWER...Askthepatientwhenhislastdrinkofalcoholwas.
B B B B B B B




You areprovidingpatienteducationtoapatient prior to
B B B




administeringIVProtonix. ... Whenthereisnohistory of GERD -
B B B B




...ANSWER. ProtonixisgivenasG.I.prophylaxistopreventB B B B B B




stressulcersB




Thepatient has amorphine PCApost operatively. On roundingyou
B B B B B B




notice respirations at eight per minute O 2 saturation of 82%. What
B B B B B B B B B B B B




medicationwouldbegiveninthesituation?-...ANSWER...
B




Narcan


Your patientis 4 hours postopenappendectomyand has notvoided
B B B B B B




yet. You note his lower abdomenisdistended. Whatshouldyoudo
B B B B B B B




NEXT?-...ANSWER. Performabladder scan
B B B




Apatientwithperitonitispresentswithtachycardia,hypotension, and
B B B B B




dehydration.Whatotherassessment findingwouldyou
B B B B




anticipateaspartofyourphysicalassessment? ........ ANSWER
B B B B




...Severeabdominalpainorreboundtenderness B B




Whatisthe EARLIESTsignindicatingincreasedintracranial
B




pressure(ICP)?-...ANSWER .... LevelofconsciousnessInaddition
B B B B B

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topain,pallor,andpulselessness,aneurovascularassessmentalso
B B B B B B




includescheckingfor:-...ANSWER...Paresthesiaandparalysis
B B B




Youreceivedareportonapatientthatsustainedarighthemisphere
B B B




CVA48hoursago. Whatdoyouexpectthepatienttoexhibit?-
B B B B B




...ANSWER...Leftsidedweaknessoftheleg,arm,andface. B B B B B




Youareorderedtogivedigoxin(Lanoxin). Yourpatientsvitalsigns
B B B B




are:BP130/70,Temp97.9F,HR52,RR16,O2Sat100%onroom air.
B B B B B B B B B B B B B B




WhatshouldyoudoNEXT?-...ANSWER... Holddigoxin
B B B




(Lanoxin)andcalltheprovider B




Youwerecaringforapatientwhois 18 hours postopafter aright
B B B B B




BKAa.Theyreportsuddenchestpainpulseoxat86%. Thepatient
B B B B B




maybeexperiencing:-...ANSWER...Pulmonaryembolism
B B




Cardiacstrip-...ANSWER...Unabletodetermine B




At0500,youknowyourpatienttobediaphoretic,clammy,andtheir
B B B B B B B




handsareshaking.Thepatient'sbloodsugariscurrently60.Which of
B B B B B B B B B B




thefollowingisthemostappropriate intervention–
B B B B




...ANSWER...Havethepatientdrink120ML'soforangejuice– B B B B B B




...ANSWER...Ventriculartachycardia– B B




...ANSWER...Normalsinusrhythm B B B