RELIAS MEDICAL SURGICAL RN A QUESTIONS AND CORRECT VERIFIED ANSWERS

RELIAS MEDICAL SURGICAL RN A
QUESTIONS AND CORRECT VERIFIED
ANSWERS
WhichA2adaptiveA2equipmentA2wouldA2beA2mostA2appropriateA2toA2useA2forA2aA2severelyA2
contractedA2patientA2whoA2isA2unableA2toA2bearA2weightA2whenA2transferringA2fromA2bedA2t
oA2chairA2-A2Ans--PatientA2LiftA2exampleA2hoyer

WhatA2labA2valuesA2areA2expectedA2toA2beA2inA2aA2patientA2withA2endA2stageA2renalA2disea
seA2onA2hemodialysisA2-A2Ans--BUNA232,A2CREATNINEA28.32

YourA285A2yearA2oldA2patientA2withA2atrialA2fibrillationA2fellA2atA2homeA23A2daysA2ago.A2You
A2noticeA2sheA2hasA2beenA2havingA2severalA2episodesA2ofA2acuteA2confusionA2sinceA2bein
gA2admittedA2toA2yourA2unit.A2WhatA2isA2theA2mostA2importantA2orderA2youA2shouldA2anticip
ateA2fromA2theA2provider?A2You're?A2-A2Ans--
HoldA2wayfaringA2(coumadin)A2forA2theA2nextA248A2hours

YourA2newA2admissionA2presentsA2withA2aA2cough,A2unintentionalA2weightA2loss,A2frequen
tA2knotA2sweats,A2andA2bloodyA2sputum.A2WhatA2typeA2ofA2isolationA2precautionsA2shouldA
2youA2initiate,A2ifA2any?A2-A2Ans--AirborneA2precautions


UponA2enteringA2yourA2patient'sA2roomA2youA2noteA2thatA2theyA2areA2havingA2aA2seizure.A2
WhatA2isA2yourA21stA2action?A2-A2Ans--
PositionA2theA2patientA2onA2theirA2sideA2toA2maintainA2theA2airway

YouA2findA2yourA2coworkerA2lookingA2throughA2yourA2patient'sA2medicalA2record..A2SheA2St
atesA2howA2isA2Mr.A2SmithA2doing?
A2HeA2isA2myA2bestA2friend'sA2dad.A2WeA2areA2soA2worriedA2aboutA2him.A2WhatA2isA2theA2be
stA2courseA2ofA2action?A2-A2Ans--
TellA2herA2youA2cannotA2giveA2herA2informationA2andA2reportA2herA2actionsA2toA2yourA2man
ager.

YourA2maleA2patientA2complaintsA2ofA2discomfortA2whileA2inflatingA2theA2balloonA2duringA2i
nsertionA2ofA2aA2endwellingA2urinaryA2catheter.A2WhatA2wouldA2beA2theA2mostA2appropriat
eA2action?A2-A2Ans--
DeflateA2theA2balloon,A2advanceA2theA2catheterA2further,A2thenA2reinflateA2theA2balloon.

YourA2patientA2takesA2regularA2insulinA2andA2NPHA2twiceA2A-
dayA2forA2glucoseA2control.A2WhatA2timesA2shouldA2theA2patientA2beA2taughtA2toA2beA2alert
A2forA2signsA2ofA2hypoglycemia?A2-A2Ans--IsA2lateA2afternoonA2andA2earlyA2morning


WhatA2isA2aA2protonA2pumpA2inhibitor,A2suchA2asA2pantoprazoleA2(protonix)A2usedA2for?A2-
A2Ans--ReduceA2gastricA2acidA2secretion

, YourA2patientA2hasA2aA2nonA2productiveA2coughA2andA2presenceA2ofA2secretionsA2inA2hisA2
tracheostomy.A2PriorA2toA2sectioningA2theA2patient,A2whatA2shouldA2youA2doA21st?A2-
A2Ans--Hyperoxygenate A2patient


dietaryA2teachingA2forA2aA2patientA2withA2chronicA2renalA2failureA2shouldA2includeA2choices
A2thatA2are:A2-A2Ans--LowA2potassium,A2lowA2protein,A2moderateA2fat


WhichA2ofA2theA2followingA2nursingA2diagnosisA2isA2mostA2importantA2forA2aA2patientA2withA
2chronicA2obstructiveA2pulmonaryA2disease(COPD)A2-A2Ans--ImpairedA2gasA2exchange


YourA2patientA2isA2admittedA2fromA2theA2EDA2withA2failureA2toA2thriveA2andA2advancedA2de
mentia.A2YouA2noteA2heA2isA2extremelyA2underweight,A2appearsA2unbathedA2forA2someA2ti
me,A2andA2hasA2aA2stageA24A2pressureA2injuryA2toA2hisA2coccyx.A2YouA2wereA2toldA2inA2rep
ortA2thatA2heA2livesA2atA2homeA2withA2familyA2members.A2WhatA2shouldA2youA2do?A2-
A2Ans--NotifyA2theA2chargeA2nurseA2andA2socialA2workerA2ofA2yourA2concerns.


YouA2haveA2aA2patientA2goingA2forA2dialysis.A2ThereA2areA2medicationsA2includeA2Lisinopri
l(prinivil),A2ondansetronA2(zofran),A2famotidine(pepcid)A2andA2atorvastatin(lipitor).A2Which
A2medicationA2wouldA2youA2possiblyA2holdA2andA2seekA2clarification?A2-A2Ans--
LISINOPRIL(PRINIVIL)

WhatA2isA2theA2bestA2indicationA2ofA2anA2acuteA2neurologicalA2problem?A2-A2Ans--
ChangeA2inA2levelA2ofA2consciousness

YourA2patientA2isA2admittedA2withA2diverticulitis.A2WhatA2typeA2ofA2dietA2doA2youA2expectA2t
oA2beA2orderedA2forA2theA2patient?A2-A2Ans--ClearA2liquids

WhichA2toolA2shouldA2youA2useA2toA2assessA2painA2inA2yourA280A2yearA2oldA2patientA2withA2
severeA2dementia?A2-A2Ans--?

YourA2postA2opA2patientA2hasA2aA2JacksonA2-
A2PrattA2drainA2inA2place.A2howA2doA2youA2ensureA2effectiveA2drainA2function?A2-A2Ans--
CompressA2theA2drain,A2thenA2plugA2theA2bulbA2toA2establishA2suction.

IsA2aA2patientA2withA2peritonitisA2PresentsA2withA2tachycardia,A2hypotensionA2,A2andA2dehy
dration.A2WhatA2otherA2assessmentA2findingA2wouldA2youA2anticipateA2asA2partA2ofA2yourA2
physicalA2assessment?A2-A2Ans--SevereA2abdominalA2painA2orA2reboundA2tenderness

YourA2patientA2withA2aA2knownA2historyA2ofA2diabetesA2isA2displayingA2symptomsA2ofA2diap
horesis,A2CoolA2skin,A2lethargy,A2AndA2shakiness.A2WhatA2isA2yourA21stA2action?A2-A2Ans--
CheckA2theA2patient'sA2bloodA2glucoseA2level

aA2patientA2onA2warfarin(Coumadin/
jantoven)A2hasA2anA2INRA2ofA26.A2WhichA2medicationA2wouldA2youA2anticipateA2administer
ing?A2-A2Ans--VitaminA2K