Med surg capstone Test Bank |Questions With Complete Solutions/Latest 2024 A+ Guide

Med surg capstone Test Bank |Questions With Complete Solutions/Latest 2024 A+ Guide You are a nurse starting your shift. You are doing a bedside report with the off-going nurse, when you realize that the patient's peripheral IV site looks sort of shiny. You check for a blood return, and find there is none. Plus, you have difficulty flushing. The patient states that the IV burns when you flush it. The NEXT thing you do is: (Answer: - Find out what was running through the IV; if it was a vesicant, then the IV will need immediate care You have just assumed care of King Valium, a new patient to your floor. He has a history of IV drug abuse, and is admitted with endocarditis. The off-going nurse reported to you that Mr. Valium has had fevers up to 103.4, has been alternating between chilling and sweating, and is complaining of feeling terrible. She attempted to start an IV, but was unsuccessful, so the patient has not yet had his first dose of IV antibiotic. You know that the first thing you will need to do for Mr. Valium is: (Answer: - Assess the patient's arms for a possible IV spot. If there is a good spot, start the IV. If there is not, then call in more experienced help. You are doing bedside report of a patient that is receiving a set rate of "renal dose dopamine". You notice that this is running via a peripheral IV. The next thing you do is: (Answer: - Check the IV site for signs of infiltration John Deer is a 48-year old male who just had a leg amputation performed 24 hours ago. He is having excruciating pain and requests some pain medication. You bring the Morphine 2 mg to his room to give him IVP, as ordered. Before administering the medication to the patient, you assess his RIJ central line, and find that it will flush, but there is no blood return from the first port you check. The NEXT thing you will do is: (Answer: - Reposition the patient and check again for blood return. A patient who was involved in a high-speed motor vehicle crash has just arrived in the ED. You are the nurse who will be placing the IV catheter. You choose which size catheter? (Answer: - 18 g because blood and IVF will need to be administered quickly According to Crimlisk, Johnstone, and Sanchez (2009), the mnemonic CATS PRRR helps nurses remember to routinely check IV medications for: (Answer: - Compatibilities, allergies, tubing correct, site checked, pump safety checked, right rate, release clamps, return and reassess the patient. A patient is scheduled to get a unit of Packed Red Blood Cells (PRBCs) because of anemia of chronic disease. What is the smallest sized IV catheter that can be used in this patient to administer the blood? (Answer: - 22 g Nurse Ned is going to give his patient Pantoprazole, 20mg IV push. He has already checked to verify that: Pantoprazole is compatible with the running IV fluids, his patient is not allergic to Pantoprazole, the IV tubing is current and has an IV push access, and that the site is OK and patent. Nurse Ned has also made sure that the pump running the IV fluids is working properly, and has verified and calculated how quickly he will give the Pantoprazole. Nurse Ned administered the Pantoprazole, and is preparing to move on to his next task. Before Nurse Ned leaves this patient, what should he do next? (Answer: - Release Tubing Clamps A patient comes into the Emergency Department with abdominal pain. The nurse has orders to start IV fluids and draw labs. The nurse inserts an 18 g IV into the patient's right antecubital area, and immediately draws a "rainbow" of blood tubes that get sent to lab. As soon as the nurse is finished collecting the labs, she flushes the blood out of the line, hooks the IV fluids into the IV, and sets the pump for the proper rate. The nurse did not formally check the IV for patency (flush with 10 mL saline and check for a blood return) because: (Answer: - The nurse knew the IV was patent because she was able to draw blood from it for labs. Intravenous Penicillin has been prescribed for a patient admitted to the hospital for treatment of pneumonia. Prior to administering the first dose of penicillin, the nurse should ask the patient: (Answer: - "Have you had a previous allergy to Penicillin?" As people become elderly in the United States, they struggle between: (Answer: - independence and safety A person just given a terminal diagnosis typically has what kind of response? (Answer: - All or any of the above One of your co-worker friends reveals to you that she has recently been having nightmares about her patients dying despite her efforts to help them. You have noticed that she has been extremely irritable, looks exhausted, and has made some inappropriate patient-care decisions. You will do which of the following to help her: (Answer: - Make arrangements for you both to go hiking together at least weekly The son of a dying patient starts yelling in a loud voice at the nursing staff about the poor quality of care the patient has received. You take the son to a quiet room to discuss his concerns. The son immediately starts crying, and apologizes for the outburst. You know the son's behavior is due to: (Answer: - Oscillation between stages of grief.