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A patient with peritonitis presents with tachycardia,
hypotension, and dehydration. What other assessment finding
would you anticipate as part of your physical assessment? -
ANSWER-Severe abdominal pain or rebound tenderness
What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? -
ANSWER-Level of
consciousness
In addition to pain, pallor, and pulselessness, a neurovascular
assessment also
includes checking for: - ANSWER-Paresthesia
and paralysis
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-Left sided weakness of the leg, arm, and
face.
You are ordered to give digoxin (Lanoxin). Your patients vital
signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100%
on room air. What should you do NEXT? - ANSWER-Hold
digoxin (Lanoxin) and call the provider
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/min and O2 sat is 84%. Which
mode of oxygen delivery would MOST likely reverse these
symptoms? - ANSWER-Non-rebreather mask
Your patient is on contact precautions for active MRSA. What
proper PPE should you use before entering the room? -
ANSWER-Gown and gloves
Your patient recently had a G-tube placed and intermittent
enteral feedings have been initiated. What symptoms may
indicate intolerance to the feedings? - ANSWER-Vomiting and
diarrhea
Upon entering your patient's room, you note that they are
having a seizure.
What is your FIRST action? - ANSWER-Position the patient
on their side to
maintain the
airway.
, Two days after surgery, your 72-year-old patient is showing
signs of agitation and confusion, which is not his baseline. The
severity fluctuates throughout the day. His medications include
hydromorphone (Dilaudid), amlodipine (Norvasc), alprazolam
(Xanax), and carbidopa-levodopa (Sinemet). What condition do
you
MOST likely suspect? - ANSWER-Delirium
What is the proper technique when suctioning a
tracheostomy? - ANSWER-
Suction in a circular motion while the catheter is
being pulled out.
Your new patient admitted for cholecystitis expresses she has
a history of anxiety disorder. She is feeling panicked and does
not think she can handle staying in the hospital for her surgery.
What action is MOST appropriate for you to take? - ANSWER-
Sit calmly next to her and offer her compassion and a sense of
security.
The provider orders and IV infusion of D5W 1000 mL to infuse
over the next 6 hours. How many mLs per hour should the IV
pump be set to? - ANSWER-167 mL/hr
You are assigned a new admission and note a Braden
score of 11 after