Relias medical surgical RN A question
with answers
aWhich 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? - -Hold 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? - -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
-dietary teaching for a patient with chronic renal failure should include choices that
are: - -Low potassium, low protein, moderate fat
-Which of the following nursing diagnosis is most important for a patient with
chronic obstructive pulmonary disease(COPD) - -Impaired 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? - -Notify 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? - -LISINOPRIL(PRINIVIL)
-What is the best indication of an acute neurological problem? - -Change in level of
consciousness
-Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient? - -Clear liquids
-Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - -?
-Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - -Compress 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? - -Severe 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? - -Check
the patient's blood glucose level
-a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication
would you anticipate administering? - -Vitamin 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? - -Heart 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? - -Non 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? - -Request and order
for soft mitts As they are the least restrictive..
with answers
aWhich 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? - -Hold 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? - -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
-dietary teaching for a patient with chronic renal failure should include choices that
are: - -Low potassium, low protein, moderate fat
-Which of the following nursing diagnosis is most important for a patient with
chronic obstructive pulmonary disease(COPD) - -Impaired 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? - -Notify 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? - -LISINOPRIL(PRINIVIL)
-What is the best indication of an acute neurological problem? - -Change in level of
consciousness
-Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient? - -Clear liquids
-Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - -?
-Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - -Compress 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? - -Severe 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? - -Check
the patient's blood glucose level
-a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication
would you anticipate administering? - -Vitamin 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? - -Heart 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? - -Non 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? - -Request and order
for soft mitts As they are the least restrictive..
