SHEET QUESTIONS AND FULL SOLUTION
GUIDE
◉ Your patient has developed sepsis from an indwelling urinary
catheter. What would be your PRIORITY intervention? Answer:
Remove catheter.
◉ Your patient is in third degree heart block. What treatment would
you MOST likely expect to be implemented? Answer: Pacemaker
◉ What are 2 nursing interventions to prevent venous
thromboembolism? Answer: • Adequate hydration and early
mobilization.
◉ Your patient is post left pneumonectomy. They have a chest tube
in place for drainage. What would be a PRIORITY in your care?
Answer: Encourage patient to cough and deep breathe
◉ What is the reversal agent for benzodiazepines? Answer:
Flumazenil (Romazicon)
, ◉ Your patient is on a patient-controlled analgesia (PCA) pump
infusing morphine. They are not getting relief. What would be your
FIRST intervention? Answer: Obtain order from provider for an
additional dose.
◉ Which finding would assist in the diagnosis of deep vein
thrombosis? Answer: Positive D-dimer
◉ What is the MOST common symptom of syndrome of
inappropriate antidiuretic hormone secretion (SIADH)? Answer:
Fluid retention
◉ Your patient has nephrotoxicity. At discharge what education
would be MOST important for you to provide? Answer: • Establish
an exercise routine.
• Implement smoking cessation.
• Review your medications with the primary care provider.
• Create a meal plan to maintain kidney health. (Wrong)
◉ Which patient would you ask about the language they would
prefer to use for communication purposes? Answer: A patient who is
newly admitted
◉ Upon arrival to the ED a patient's lab results indicate a BNP of
2000. They are transferred to the PCU.