Relias medical surgical RN A 2023-2024
Get a hint
Which adaptive equipment would be most appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from bed to chair -
ANSPatient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSBUN 32, CREATNINE 8.32
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she
has been having several episodes of acute confusion since being admitted to your
unit. What is the most important order you should anticipate from the provider?
You're? - ANSHold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot
sweats, and bloody sputum. What type of isolation precautions should you initiate, if
any? - ANSAirborne precautions
Upon entering your patient's room you note that they are having a seizure. What is
your 1st action? - ANSPosition the patient on their side to maintain the airway
You find your coworker looking through your patient's medical record.. She States
how is Mr. Smith doing? He is my best friend's dad. We are so worried about him.
What is the best course of action? - ANSTell her you cannot give her information and
report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion
of a endwelling urinary catheter. What would be the most appropriate action? -
ANSDeflate the balloon, advance the catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What
times should the patient be taught to be alert for signs of hypoglycemia? - ANSIs late
afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
ANSReduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? -
ANSHyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that
are: - ANSLow potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANSImpaired gas exchange
, Your patient is admitted from the ED with failure to thrive and advanced dementia.
You note he is extremely underweight, appears unbathed for some time, and has a
stage 4 pressure injury to his coccyx. You were told in report that he lives at home
with family members. What should you do? - ANSNotify the charge nurse and social
worker of your concerns.
You have a patient going for dialysis. There are medications include
Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and atorvastatin(lipitor).
Which medication would you possibly hold and seek clarification? -
ANSLISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ANSChange in level
of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient? - ANSClear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ANS?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - ANSCompress the drain, then plug the bulb to establish
suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration.
What other assessment finding would you anticipate as part of your physical
assessment? - ANSSevere abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis,
Cool skin, lethargy, And shakiness. What is your 1st action? - ANSCheck the
patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would
you anticipate administering? - ANSVitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3).
These symptoms are indicative of what condition? - ANSHeart failure
Upon entry to your patient's room, you find her sitting in high Fowler's Position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/minute And 02
sat is 84%. Which mode of oxygen delivery would most likely reverse the symptoms?
- ANSNon rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders And increased observation. The nursing assistant recommends using soft
mitt Restraints on the patient. What is your recommendation? - ANSRequest and
order for soft mitts As they are the least restrictive..
Get a hint
Which adaptive equipment would be most appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from bed to chair -
ANSPatient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSBUN 32, CREATNINE 8.32
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she
has been having several episodes of acute confusion since being admitted to your
unit. What is the most important order you should anticipate from the provider?
You're? - ANSHold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot
sweats, and bloody sputum. What type of isolation precautions should you initiate, if
any? - ANSAirborne precautions
Upon entering your patient's room you note that they are having a seizure. What is
your 1st action? - ANSPosition the patient on their side to maintain the airway
You find your coworker looking through your patient's medical record.. She States
how is Mr. Smith doing? He is my best friend's dad. We are so worried about him.
What is the best course of action? - ANSTell her you cannot give her information and
report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion
of a endwelling urinary catheter. What would be the most appropriate action? -
ANSDeflate the balloon, advance the catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What
times should the patient be taught to be alert for signs of hypoglycemia? - ANSIs late
afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
ANSReduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? -
ANSHyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that
are: - ANSLow potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANSImpaired gas exchange
, Your patient is admitted from the ED with failure to thrive and advanced dementia.
You note he is extremely underweight, appears unbathed for some time, and has a
stage 4 pressure injury to his coccyx. You were told in report that he lives at home
with family members. What should you do? - ANSNotify the charge nurse and social
worker of your concerns.
You have a patient going for dialysis. There are medications include
Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and atorvastatin(lipitor).
Which medication would you possibly hold and seek clarification? -
ANSLISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ANSChange in level
of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient? - ANSClear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ANS?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - ANSCompress the drain, then plug the bulb to establish
suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration.
What other assessment finding would you anticipate as part of your physical
assessment? - ANSSevere abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis,
Cool skin, lethargy, And shakiness. What is your 1st action? - ANSCheck the
patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would
you anticipate administering? - ANSVitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3).
These symptoms are indicative of what condition? - ANSHeart failure
Upon entry to your patient's room, you find her sitting in high Fowler's Position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/minute And 02
sat is 84%. Which mode of oxygen delivery would most likely reverse the symptoms?
- ANSNon rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders And increased observation. The nursing assistant recommends using soft
mitt Restraints on the patient. What is your recommendation? - ANSRequest and
order for soft mitts As they are the least restrictive..
