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Exam (elaborations)

Relias Medical Surgical Rn Actual Exam Complete Questions & Correct Detailed Answers

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RELIAS MEDICAL SURGICAL RN ACTUAL EXAM COMPLETE QUESTIONS & CORRECT DETAILED ANSWERS

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RELIAS MEDICAL SURGICAL RN
ACTUAL EXAM COMPLETE
QUESTIONS & CORRECT DETAILED
ANSWERS

Whichsxadaptivesxequipmentsxwouldsxbesxmostsxappropriatesxtosxusesxforsxasxseverelysxco
ntractedsxpatientsxwhosxissxunablesxtosxbearsxweightsxwhensxtransferringsxfromsxbedsxtosxch
airsx-sxANSWERS-PatientsxLiftsxexamplesxhoyer

Whatsxlabsxvaluessxaresxexpectedsxtosxbesxinsxasxpatientsxwithsxendsxstagesxrenalsxdiseasesx
onsxhemodialysissx-sxANSWERS-BUNsx32,sxCREATNINEsx8.32

Yoursx85sxyearsxoldsxpatientsxwithsxatrialsxfibrillationsxfellsxatsxhomesx3sxdayssxago.sxYousxnot
icesxshesxhassxbeensxhavingsxseveralsxepisodessxofsxacutesxconfusionsxsincesxbeingsxadmi
ttedsxtosxyoursxunit.sxWhatsxissxthesxmostsximportantsxordersxyousxshouldsxanticipatesxfromsxt
hesxprovider?sxYou're?sx-sxANSWERS-
Holdsxwayfaringsx(coumadin)sxforsxthesxnextsx48sxhours

Yoursxnewsxadmissionsxpresentssxwithsxasxcough,sxunintentionalsxweightsxloss,sxfrequentsx
knotsxsweats,sxandsxbloodysxsputum.sxWhatsxtypesxofsxisolationsxprecautionssxshouldsxyou
sxinitiate,sxifsxany?sx-sxANSWERS-Airbornesxprecautions



Uponsxenteringsxyoursxpatient'ssxroomsxyousxnotesxthatsxtheysxaresxhavingsxasxseizure.sxWh
atsxissxyoursx1stsxaction?sx-sxANSWERS-
Positionsxthesxpatientsxonsxtheirsxsidesxtosxmaintainsxthesxairway

Yousxfindsxyoursxcoworkersxlookingsxthroughsxyoursxpatient'ssxmedicalsxrecord..sxShesxStat
essxhowsxissxMr.sxSmithsxdoing?
sxHesxissxmysxbestsxfriend'ssxdad.sxWesxaresxsosxworriedsxaboutsxhim.sxWhatsxissxthesxbestsxc

oursesxofsxaction?sx-sxANSWERS-
Tellsxhersxyousxcannotsxgivesxhersxinformationsxandsxreportsxhersxactionssxtosxyoursxmanag
er.

Yoursxmalesxpatientsxcomplaintssxofsxdiscomfortsxwhilesxinflatingsxthesxballoonsxduringsxins
ertionsxofsxasxendwellingsxurinarysxcatheter.sxWhatsxwouldsxbesxthesxmostsxappropriatesxact
ion?sx-sxANSWERS-
Deflatesxthesxballoon,sxadvancesxthesxcathetersxfurther,sxthensxreinflatesxthesxballoon.

YoursxpatientsxtakessxregularsxinsulinsxandsxNPHsxtwicesxA-
daysxforsxglucosesxcontrol.sxWhatsxtimessxshouldsxthesxpatientsxbesxtaughtsxtosxbesxalertsxfor
sxsignssxofsxhypoglycemia?sx-sxANSWERS-Issxlatesxafternoonsxandsxearlysxmorning



Whatsxissxasxprotonsxpumpsxinhibitor,sxsuchsxassxpantoprazolesx(protonix)sxusedsxfor?sx-
sxANSWERS-Reducesxgastricsxacidsxsecretion

, Yoursxpatientsxhassxasxnonsxproductivesxcoughsxandsxpresencesxofsxsecretionssxinsxhissxtra
cheostomy.sxPriorsxtosxsectioningsxthesxpatient,sxwhatsxshouldsxyousxdosx1st?sx-
sxANSWERS-Hyperoxygenate sxpatient



dietarysxteachingsxforsxasxpatientsxwithsxchronicsxrenalsxfailuresxshouldsxincludesxchoicessxt
hatsxare:sx-sxANSWERS-Lowsxpotassium,sxlowsxprotein,sxmoderatesxfat

Whichsxofsxthesxfollowingsxnursingsxdiagnosissxissxmostsximportantsxforsxasxpatientsxwithsxch
ronicsxobstructivesxpulmonarysxdisease(COPD)sx-sxANSWERS-
Impairedsxgassxexchange

YoursxpatientsxissxadmittedsxfromsxthesxEDsxwithsxfailuresxtosxthrivesxandsxadvancedsxdeme
ntia.sxYousxnotesxhesxissxextremelysxunderweight,sxappearssxunbathedsxforsxsomesxtime,sx
andsxhassxasxstagesx4sxpressuresxinjurysxtosxhissxcoccyx.sxYousxweresxtoldsxinsxreportsxthatsx
hesxlivessxatsxhomesxwithsxfamilysxmembers.sxWhatsxshouldsxyousxdo?sx-sxANSWERS-
Notifysxthesxchargesxnursesxandsxsocialsxworkersxofsxyoursxconcerns.

Yousxhavesxasxpatientsxgoingsxforsxdialysis.sxTheresxaresxmedicationssxincludesxLisinopril(p
rinivil),sxondansetronsx(zofran),sxfamotidine(pepcid)sxandsxatorvastatin(lipitor).sxWhichsx
medicationsxwouldsxyousxpossiblysxholdsxandsxseeksxclarification?sx-sxANSWERS-
LISINOPRIL(PRINIVIL)

Whatsxissxthesxbestsxindicationsxofsxansxacutesxneurologicalsxproblem?sx-sxANSWERS-
Changesxinsxlevelsxofsxconsciousness

Yoursxpatientsxissxadmittedsxwithsxdiverticulitis.sxWhatsxtypesxofsxdietsxdosxyousxexpectsxtosx
besxorderedsxforsxthesxpatient?sx-sxANSWERS-Clearsxliquids

Whichsxtoolsxshouldsxyousxusesxtosxassesssxpainsxinsxyoursx80sxyearsxoldsxpatientsxwithsxsev
eresxdementia?sx-sxANSWERS-?

YoursxpostsxopsxpatientsxhassxasxJacksonsx-
sxPrattsxdrainsxinsxplace.sxhowsxdosxyousxensuresxeffectivesxdrainsxfunction?sx-

sxANSWERS-Compresssxthesxdrain,sxthensxplugsxthesxbulbsxtosxestablishsxsuction.



IssxasxpatientsxwithsxperitonitissxPresentssxwithsxtachycardia,sxhypotensionsx,sxandsxdehydr
ation.sxWhatsxothersxassessmentsxfindingsxwouldsxyousxanticipatesxassxpartsxofsxyoursxphys
icalsxassessment?sx-sxANSWERS-Severesxabdominalsxpainsxorsxreboundsxtenderness

Yoursxpatientsxwithsxasxknownsxhistorysxofsxdiabetessxissxdisplayingsxsymptomssxofsxdiapho
resis,sxCoolsxskin,sxlethargy,sxAndsxshakiness.sxWhatsxissxyoursx1stsxaction?sx-
sxANSWERS-Checksxthesxpatient'ssxbloodsxglucosesxlevel



asxpatientsxonsxwarfarin(Coumadin/
jantoven)sxhassxansxINRsxofsx6.sxWhichsxmedicationsxwouldsxyousxanticipatesxadministerin
g?sx-sxANSWERS-VitaminsxK

WhilesxinsxasxsupinesxpositionsxyoursxpatientsxStates"sxI'msxtiredsxandsxcannotsxcatchsxmysxb
reath".sxPhysicalsxassessmentsxrevealssxjugglersxveinsxdistentionsxandsxasx3rdsxheartsxsou

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