NURS MISC - Clinical Reasoning Quiz. 49 Questions & Answers. All 100% Correct.

Clinical Reasoning Quiz 49 Questions 1. A patient is admitted to the emergency department with the following rhythm. The patient states their heart suddenly started pounding and they are feeling lightheaded. Blood pressure is 105/60 mmHg. Which medication should the nurse anticipate the physician ordering? a. Atropine b. Adenosine c. Nitroprusside d. Norephinephrine 2. The nurse is caring for a patient in the emergency department complaining of substernal chest pain. Which diagnostic test should be the priority? a. Echocardiogram b. Cardiac catherization c. Chest radiograph d. Electrocardiogram 3.The nurse is caring for a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which lab values would the nurse expect? (select all that apply.) A. Sodium 128 mEq/L B. Potassium 5.0 mEq/L C. Magnesium 1.5 mEq/L D. Urine specific gravity 1.035 due to decrease urine output E. Serum specific gravity 290 mOsm/kg 4. The nurse is caring for a surgical patient that has a Jackson-Pratt drain. Which action will ensure the drain is functioning properly? a. Coil the tubing of the drain b. Empty the bulb daily c. Keep the bulb compressed d. Place the drain to wall suction 5. The nurse is caring for a patient who requires continuous ambulatory peritoneal dialysis. Which by the nurse are appropriate? (Select all that apply.) a. Notify the provider of cloudy or opaque effluent. b. Prepare the patient for exchanges three times a week c. Apply a mask to patient during system connect and disconnect d. Require the patient in a reclining position during exchange e. Warm the dialysate bag by applying a heating pad prior to exchange. 6. The nurse is caring for a patient on continuous cardiac monitoring and observes the following rhythm. What would be the most appropriate action by the nurse? a. Call the rapid response team. b. Obtain a blood pressure c. Notify the HC provider d. Administer IV push atropine. 7. A patient receiving oxygen at 60% via simple face mask has the following arterial blood gas results: pH 7.32 Pa02 99 mm Hg PaC02 51 mm Hg HCO3- 28mEq/L Based upon these results what would the nurse anticipate the HC provider ordering? a. Have the lab repeat the ABG test b. Administer IV sodium bicarbonate c. Decrease the supplemental oxygen d. Place patient on partial rebreather mask