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MEDICAL-SURGICAL RN A PROPHECY RELIAS

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2024/2025 Written for academic year
Institution RELIAS MEDICAL SURGICAL
Course RELIAS MEDICAL SURGICAL
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MEDICAL/SURGICAL/TELEMETRY (POM)

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MEDICAL-SURGICAL RN A
PROPHECY RELIAS




1.255milligrams55is55equal55to55how55many55micrograms?55-55answer--120055mcg

Your55post-op55patient55has55a55Jackson-
Pratt55(JP)55drain55in55place.55How55do55you55ensure55effective55drain55function?55-
55answer--Compress55the55drain,55then55plug55the55bulb55to55establish55suction


Your55male55patient55complains55of55discomfort55while55inflating55the55balloon55during55i
nsertion55of55an55indwelling55urinary55catheter.55What55would55be55the55MOST55appropr
iate55action?55-55answer--
Deflate55the55balloon,55advance55the55catheter55further,55then55reinflate55the55balloon

Your55patient55has55symptomatic55anemia55but55is55refusing55a55blood55transfusion55for5
5religious55reason.55What55is55an55appropriate55response?55-55answer--
Respect55his55wishes55and55notify55the55provider

Your55patient55is55admitted55with55diverticulitis.55What55type55of55diet55do55you55expect55
to55be55ordered55for55the55patient?55-55answer--broth,55jello,55soft55fruit55no55skin,

You55were55hired55to55work55the55medical55unit55and55when55you55arrive55at55work55the5
5charge55nurse55has55assigned55you55to55the55post-
surgical55unit55since55they55are55understaffed.55Which55is55the55MOST55appropriate55act
ion?55-55answer--Report55to55the55post-surgical55unit.

What55is55a55proton55pump55inhibitor,55such55as55pantoprazole55(Protonix)55used55for?
55-55answer--Acid55Reduction


Which55adaptive55equipment55would55be55MOST55appropriate55to55use55for55a55severely
55contracted55patient55who55is55unable55to55bear55weight55when55transferring55from55the
55bed55to55the55chair?55-55answer--Patient55lift55(e.g.,55Hoyer)

, Which55tool55should55you55use55to55assess55pain55in55you5580-year-
old55patient55with55severe55dementia?55-55answer--PAINAD55scale

Your55patient55is55admitted55from55the55ED55with55failure55to55thrive55and55advanced55de
mentia.55You55note55he55is55extremely55underweight,55appears55unbathed55for55some55ti
me,55and55has55a55stage55455pressure55injury55to55his55coccyx.55You55were55told55in55re
port55that55he55lives55at55home55with55family55members.55What55should55you55do?55-
55answer--Notify55the55charge55nurse55and55social55worker55of55your55concerns.


Your5585-year-
old55patient55with55atrial55fibrillation55fell55at55home55355days55ago.55You55notice55she55h
as55been55having55several55episodes55of55acute55confusion55since55being55admitted55to5
5your55unit.55What55is55the55MOST55important55order55you55should55anticipate55from55th
e55provider?55-55answer--Stat55CT55of55head

Your55patient55has55a55temp55of55102.355F,55HR55122,55and55has55had551555mL55of55urin
e55from55the55indwelling55urinary55catheter55in55the55last55255hours.55What55is55your55pat
ient55MOST55likely55experiencing.55-55answer--Sepsis

What55type55of55personal55protective55equipment55(PPE)55is55applied55prior55to55enterin
g55a55room55for55a55patient55with55C.55diff?55-55answer--Gown55and55gloves

Your55patient55continues55to55pull55at55their55IV55site55located55in55their55left55forearm55d
espite55verbal55reminders55and55increased55observation.55The55nursing55assistant55reco
mmends55using55soft55mitt55restraints55on55the55patient.55What55is55your55recommendati
on?55-55answer--
Request55an55order55for55soft55mitts55as55they55are55the55least55restrictive

Your55patient55was55admitted55for55a55hypertensive55crisis55and55has55a55history55of55H
TN,55Parkinson's55disease,55depression,55and55alcohol55use.55On55his55second55hospita
lized55day,55you55notice55he55is55more55anxious55and55restless55than55his55baseline.55W
hat55would55be55your55FIRST55nursing55intervention?55-55answer--
Ask55the55patient55when55his55last55drink55of55alcohol55was.

What55is55the55BEST55indication55of55an55acute55neurological55problem?55-55answer--
Change55in55level55of55consciousness

While55in55a55supine55position55your55patient55states,55"I'm55tired55and55cannot55catch55
my55breath."55Physical55assessment55reveals55jugular55vein55distention55and55a55third55
heart55sound55(S3).55These55symptoms55are55indicative55of55what55condition?55-
55answer--Heart55failure


Your55new55admission55presents55with55a55cough,55unintentional55weight55loss,55freque
nt55night55sweats,55and55bloody55sputum.55What55type55of55isolation55precautions55shou
ld55you55initiate,55if55any?55-55answer--Airborne55precautions

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