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Prophecy health medical surgical RN A Questions and Correct Answers

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You are caring for a patient post lobotomy With a chest tube in place for drainage. What is a priority in caring for this patient? ~ Encourage the patient to cough and deep breathe. Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? ~ Use the organizations interpreter services You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp 97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? ~ HOLD DIGOXIN AND CALL PROVIDER Your patient tells you I hope I don't die, but if I do I don't want to be brought back. You notice on her chart and wrist band that she is a full code. What would be the most appropriate action? ~ Discuss code status with the patient and follow up with the provider to ensure the medical record reflects her wishes What are the most common causes of acute onset pancreatitis? ~ Alcoholism and gallstones Your 18 year old female patient was admitted with dehydration secondary to anorexia nervosa. During your assessment you note she has a flat effect and says" I just want to die, I'm tired of my life ". What should be your 1st intervention? ~ Stay with the patient and ask if she has a plan to carry out this wish A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? ~ Hyperglycemia To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV, What is the minimum duration the catheter should remain in place before routine replacement. ~ 72 hours Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson disease, depression and alcohol use. On his 2nd hospitalized day, you notice he is more anxious and restless than his baseline. What would be your 1st nursing intervention? ~ Ask the patient when his last drink of alcohol was Black and tarry Colored stools are classic symptoms of what condition? ~ Bleeding gastric ulcer In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for ~ Parasthesia and paralysi

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Prophecy health medical surgical
RN A Questions and Correct
Answers

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

✓✓~ Patient Lift example hoyer




What lab values are expected to be in a patient with end stage renal disease on

hemodialysis

✓✓~ BUN 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?

✓✓~ CT Scan




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?

✓✓~ Airborne precautions

, Upon entering your patient's room you note that they are having a seizure. What is

your 1st action?

✓✓~ Position 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?

✓✓~ Tell 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?

✓✓~ Deflate 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?

✓✓~ Is late afternoon and early morning




What is a proton pump inhibitor, such as pantoprazole (protonix) used for?

✓✓~ Reduce 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?

✓✓~ Hyperoxygenate patient

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