◉ Hypertension Complication.
Answer: Elevated BP increases stroke risk.
◉ Seizure Disorder.
Answer: UAP should secure side rails with blankets.
◉ Major Depressive Disorder.
Answer: Immediate follow-up needed for purposeless life
description.
◉ Ovarian Cancer Evaluation.
Answer: Negative Pap smear may still require further surgical
evaluation.
◉ Tracheostomy Discharge.
Answer: Teach tracheal suctioning techniques.
◉ Partial Rebreather Mask.
Answer: Document findings of bag not deflating fully and normal
respiratory rate.
,◉ EKG Monitoring Alarm.
Answer: Investigate respiratory apnea alarm first.
◉ Elderly Fall.
Answer: First check for lacerations or fractures.
◉ Pre-C-Section Coffee.
Answer: Inform anesthesia care provider about client's coffee intake.
◉ Heart Auscultation.
Answer: Use bell to listen for S3 heart sound.
◉ Health Insurance Referral.
Answer: Refer retiring client to Medicare for health insurance needs.
◉ Tetracycline Administration.
Answer: Instruct client to take tetracycline with toasted wheat bread
and jelly.
◉ Complication.
, Answer: Indicated by headache worsening when sitting up post-
lumbar puncture
◉ Clean catch mid-stream specimen.
Answer: Action for an elderly client with confusion, nausea, dysuria,
and urgency
◉ Phenylketonuria (PKU) contraindicated foods.
Answer: Foods sweetened with aspartame for a child with PKU
◉ Surgical hand scrub duration.
Answer: Response to a scrub nurse asking about adequacy of a 3-
minute scrub
◉ Osteoporosis dietary management.
Answer: Breakfast choice indicating understanding of nurse's
instructions
◉ Registered nurse assignment.
Answer: Client prioritization based on care needs in a critical care
unit
◉ Rusty nail injury.