Which adaptive equipment would be most most appropriate action? - ANSWERS -
appropriate to use for a severely contracted Deflate the balloon, advance the catheter further,
patient who is unable to bear weight when then reinflate the balloon.
transferring from bed to chair -
ANSWERS - Patient Lift example hoyer
Your patient takes regular insulin and NPH twice
A-day for glucose control. What times should the
What lab values are expected to be in a patient patient be taught to be alert for signs of
with end stage renal disease on hemodialysis - hypoglycemia? - ANSWERS - Is late
ANSWERS - BUN 32, CREATNINE 8.32 afternoon and early morning
Your 85 year old patient with atrial fibrillation fell What is a proton pump inhibitor, such as
at home 3 days ago. You notice she has been pantoprazole (protonix) used for? -
having several episodes of acute confusion since ANSWERS - Reduce gastric acid secretion
being admitted to your unit. What is the most
important order you should anticipate from the
provider? You're? - ANSWERS - Hold Your patient has a non productive cough and
wayfaring (coumadin) for the next 48 hours presence of secretions in his tracheostomy. Prior
to sectioning the patient, what should you do 1st?
- ANSWERS - Hyperoxygenate patient
Your new admission presents with a cough,
unintentional weight loss, frequent knot sweats,
and bloody sputum. What type of isolation dietary teaching for a patient with chronic renal
precautions should you initiate, if any? - failure should include choices that are: -
ANSWERS - Airborne precautions ANSWERS - Low potassium, low protein,
moderate fat
Upon entering your patient's room you note that
they are having a seizure. What is your 1st Which of the following nursing diagnosis is most
action? - ANSWERS - Position the patient important for a patient with chronic obstructive
on their side to maintain the airway pulmonary disease(COPD) - ANSWERS -
Impaired gas exchange
You find your coworker looking through your
patient's medical record.. She States how is Mr. Your patient is admitted from the ED with failure
Smith doing? He is my best friend's dad. We are to thrive and advanced dementia. You note he is
so worried about him. What is the best course of extremely underweight, appears unbathed for
action? - ANSWERS - Tell her you cannot some time, and has a stage 4 pressure injury to
give her information and report her actions to his coccyx. You were told in report that he lives at
your manager. home with family members. What should you do?
- ANSWERS - Notify the charge nurse and
social worker of your concerns.
Your male patient complaints of discomfort while
inflating the balloon during insertion of a
endwelling urinary catheter. What would be the
1/5
, Relias medical surgical RN A Test with Answers Rated A
You have a patient going for dialysis. There are INR of 6. Which medication would you anticipate
medications include Lisinopril(prinivil), administering? - ANSWERS - Vitamin K
ondansetron (zofran), famotidine(pepcid) and
atorvastatin(lipitor). Which medication would you
possibly hold and seek clarification? - While in a supine position your patient States" I'm
ANSWERS - LISINOPRIL(PRINIVIL) tired and cannot catch my breath". Physical
assessment reveals juggler vein distention and a
3rd heart sound(S3). These symptoms are
What is the best indication of an acute indicative of what condition? - ANSWERS -
neurological problem? - ANSWERS - Heart failure
Change in level of consciousness
Upon entry to your patient's room, you find her
Your patient is admitted with diverticulitis. What
sitting in high Fowler's Position and complaining
type of diet do you expect to be ordered for the of shortness of breath. Her respiratory rate is 34
patient? - ANSWERS - Clear liquids breaths/minute And 02 sat is 84%. Which mode
of oxygen delivery would most likely reverse the
symptoms? - ANSWERS - Non rebreather
Which tool should you use to assess pain in your mask
80 year old patient with severe dementia? -
ANSWERS - ?
Your patient continues to pull at their iv located in
their left forearm despite verbal reminders And
Your post op patient has a Jackson - Pratt drain increased observation. The nursing assistant
in place. how do you ensure effective drain recommends using soft mitt Restraints on the
function? - ANSWERS - Compress the patient. What is your recommendation? -
drain, then plug the bulb to establish suction. ANSWERS - Request and order for soft
mitts As they are the least restrictive..
Is a patient with peritonitis Presents with
tachycardia, hypotension , and dehydration. What is an early symptom that a patient is
What other assessment finding would you developing a complication of heart failure? -
anticipate as part of your physical assessment? - ANSWERS - Edema in the legs and feet
ANSWERS - Severe abdominal pain or
rebound tenderness
You were hired to work the medical unit and
when you arrive at work the charge nurse has
Your patient with a known history of diabetes is assigned you to the post surgical unit since they
displaying symptoms of diaphoresis, Cool skin, are under staffed. Which is the most appropriate
lethargy, And shakiness. What is your 1st action? action? - ANSWERS - Report to the post
- ANSWERS - Check the patient's blood surgical unit
glucose level
What type of personal protective equipment(Ppe)
a patient on warfarin(Coumadin/jantoven) has an Is applied prior to entering a room for a patient
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