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2024/2025 Grade A- Nightingale.
An overweight young adult diagnosed with type 2 diabetes is
admitted for hernia repair, the patient feels weak and jittery.
Which actions should the nurse implement? SATA check his
fingerstick glucose level
assess his skin temperature and moisture
measure his pulse and BP
A patient with peripheral artery disease has marked peripheral
neuropath. An appropriate nursing diagnosis for the patient is
High risk for injury
A patient is hospitalized with IBD exacerbation and treated with
corticosteroid. The patient develops a rigid abdomen with
rebound tenderness. Which action should the nurse take?
Measure vital signs
Type 2 diabetes patient discharge teaching patient and family
Check feet every day for cuts or injuries.
, Plan of care for patient with skin lesions of lower extremities with
possible MRSA. SATA Institute Contact precautions for staff
and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
A patient with acute anterior wall MI 1 week ago is given low-
dose aspirin. The medication is related to which problem and HCP
should be notified? Hematemesis- - Contact HCP if blood is
visible in body fluids such as hematemesis.
For a patient with SLE exacerbation what is the most important to
report which assessment finding? Elevated blood urea
nitrogen (BUN)
Before selecting a medication to administer, which action should
the nurse implement in the post-op patient who reports incisional
pain and has 2 PRN analgesia available in MAR? Rate of pain
on a scale from 0-10.
Patient had bariatric surgery 2 months ago who developed post-
op strictures who is experiencing nausea and vomiting and
anorexia who is admitted for fluid resuscitation. Which