Relias medical surgical RN A Solved
2024
You are caring for a patient with history of diabetes mellitus. You walk into the room and find the
patient lethargic and diaphoretic. What is your 1st action? - ANSWER
Obtain capillary blood glucose level
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? - ANSWER
HOLD DIGOXIN AND CALL PROVIDER
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? -
ANSWER
Tell her you cannot give her information and report her actions to your manager.
You have 4 patients who have high priority needs. One needs to go to surgery, 1 needs stat lab draws
From a PICC line, Another has chest pain rated 8/10 And another needs toileting. Which patient should
you tend to 1st? - ANSWER
The patient with chest pain
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? - ANSWER
LISINOPRIL(PRINIVIL)
You receive a provider's order that is not consistent with evidence based practice.What is your 1st step?
ANSWER
- Clarify the order with the provider
, You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you
expect the patient to exhibit? - ANSWER
Lift sided weakness of the leg, arm, and face and face
You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you
to the post surgical unit since they are under staffed. Which is the most appropriate action? - ANSWER
Report to the post surgical unit
You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated. What
symptoms may indicate intolerance to the feedings? - ANSWER
Vomiting and diarrhea
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? - ANSWER
Stay with the patient and ask if she has a plan to carry out this wish
Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And exhibit signs and
symptoms of tardiness dyskinesia. Is what long term medication is associated with signs and symptoms
of tardive dyskinesia? - ANSWER
Chlorpromazine(thorazine)
Your 72 Year old male patient is admitted for colon cancer Related complications and has a history of
CHF, stroke and a recent Knee replacement.Based on your patient's risk assessment,You determine he is
at risk for Venous thromboembolism (VTE) What is an appropriate VTE prophylaxis prophylaxis order for
this patient? - ANSWER
Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC)
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? - ANSWER
Hold wayfaring (coumadin) for the next 48 hours
2024
You are caring for a patient with history of diabetes mellitus. You walk into the room and find the
patient lethargic and diaphoretic. What is your 1st action? - ANSWER
Obtain capillary blood glucose level
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? - ANSWER
HOLD DIGOXIN AND CALL PROVIDER
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? -
ANSWER
Tell her you cannot give her information and report her actions to your manager.
You have 4 patients who have high priority needs. One needs to go to surgery, 1 needs stat lab draws
From a PICC line, Another has chest pain rated 8/10 And another needs toileting. Which patient should
you tend to 1st? - ANSWER
The patient with chest pain
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? - ANSWER
LISINOPRIL(PRINIVIL)
You receive a provider's order that is not consistent with evidence based practice.What is your 1st step?
ANSWER
- Clarify the order with the provider
, You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you
expect the patient to exhibit? - ANSWER
Lift sided weakness of the leg, arm, and face and face
You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you
to the post surgical unit since they are under staffed. Which is the most appropriate action? - ANSWER
Report to the post surgical unit
You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated. What
symptoms may indicate intolerance to the feedings? - ANSWER
Vomiting and diarrhea
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? - ANSWER
Stay with the patient and ask if she has a plan to carry out this wish
Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And exhibit signs and
symptoms of tardiness dyskinesia. Is what long term medication is associated with signs and symptoms
of tardive dyskinesia? - ANSWER
Chlorpromazine(thorazine)
Your 72 Year old male patient is admitted for colon cancer Related complications and has a history of
CHF, stroke and a recent Knee replacement.Based on your patient's risk assessment,You determine he is
at risk for Venous thromboembolism (VTE) What is an appropriate VTE prophylaxis prophylaxis order for
this patient? - ANSWER
Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC)
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? - ANSWER
Hold wayfaring (coumadin) for the next 48 hours
