100% CORRECT ANSWERS LATEST SOLUTION
Endoscopy (EGD) positioning - answer-left side lying
Before an Endoscopy (EGD): - answer--NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - answer--restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - answer-flap furthest from body,
side flaps, then closest
A nurse has removed a sterile pack from its outside cover and place it on a clean
work surface in preparation for an invasive procedure. Which of the following
flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - answer-D
,What complaint would lead you to believe the pt is suffering from an aneurysm? -
answer-pain in the abd, back, arm, or leg
sudden onset
If a pt suffered 18% burns what lab values would you expect to increase after 24
hrs? - answer-WBC decrease
Hgb & Hct decrease
Sodium decrease
Internal radiation: - answer--visitors limited to 30 min a day at distance of 6 ft
-healthcare staff must wear dosimeter
-sign on door
-client gets private room & bath
-no pregnant visitors or kids
-lead container for disposal of stuff in clients room
Internal radiation, which indicates client understanding? - answer-I will wash area
with mild soap and water daily
which of the following pts is at risk for developing metabolic alkalosis? - answer-
vomiting
laxatives
ng tube suctioning
,Which of the following pt complaints would lead you to suspect extravasation? -
answer-burning stinging pain
Suspected septicemia appropriate intervention? - answer-obtain a blood culture
for dx
what would be an appropriate finding in an EKG strip? - answer-absent inverted T
waves
What would be your primary intervention for a pt following a thoracentesis? -
answer-apply dressing over the puncture site & assist to position on the
unaffected side
A pt comes to the hospital with a TB induration of 10mm what would be your
following nursing action? - answer-obtain sputum cultures
Which of the following is an expected lab value for a pt following hemodialysis? -
answer-whichever level is decreased (that is expected)
which lab value would cause nurse to notify physician that pt isn't ready for
surgery? - answer-too high INR (normal is 2-3)
what would you tell a pt's family who is to undergo a procedure w/conscious
sedation to expect? - answer-drive the pt home, pain, full stop listening
Which of the following indicates the client's understanding about their diagnosis
of diabetes and plan for foot care? - answer-i will wear cotton socks
, What is coming out of the NG tube that would cause concern/notify physician? -
answer-red secretions (brown, green, clear-ok)
Priority action following the placement of an NG tube? - answer-get chest xray to
confirm placement
What abd assessment would concern the nurse of a possible obstruction? -
answer-abdomen hard and distended
Which pt has the highest risk of developing a pressure ulcer? - answer-older
woman post hip replacement surgery
What assessment finding indicates a complication following an MI? - answer-
change/altered LOC
What would cause you to notify physician/primary concern for a pt who just
received a bronchoscopy? - answer-change in sputum color
What would lead you to believe that cardiac tamponade is occurring? - answer-
Sudden cessation of chest tube drainage
What signs/symptoms would indicate PVD? - answer-edema, elevated temp
Femoral aneurysm complication following bypass graft, what to check? - answer-
pedal pulses