MEDICAL-SURGICAL RN A PROPHECY RELIAS QUESTIONS AND CORRECT VERIFIED ANSWERS

MEDICAL-SURGICAL RN A PROPHECY
RELIAS QUESTIONS AND CORRECT
VERIFIED ANSWERS
1.2A2milligramsA2isA2equalA2toA2howA2manyA2micrograms?A2-A2Ans--1200A2mcg

YourA2post-opA2patientA2hasA2aA2Jackson-
PrattA2(JP)A2drainA2inA2place.A2HowA2doA2youA2ensureA2effectiveA2drainA2function?A2-
A2Ans--CompressA2theA2drain,A2thenA2plugA2theA2bulbA2toA2establishA2suction


YourA2maleA2patientA2complainsA2ofA2discomfortA2whileA2inflatingA2theA2balloonA2duringA2in
sertionA2ofA2anA2indwellingA2urinaryA2catheter.A2WhatA2wouldA2beA2theA2MOSTA2appropriat
eA2action?A2-A2Ans--
DeflateA2theA2balloon,A2advanceA2theA2catheterA2further,A2thenA2reinflateA2theA2balloon

YourA2patientA2hasA2symptomaticA2anemiaA2butA2isA2refusingA2aA2bloodA2transfusionA2forA2
religiousA2reason.A2WhatA2isA2anA2appropriateA2response?A2-A2Ans--
RespectA2hisA2wishesA2andA2notifyA2theA2provider

YourA2patientA2isA2admittedA2withA2diverticulitis.A2WhatA2typeA2ofA2dietA2doA2youA2expectA2t
oA2beA2orderedA2forA2theA2patient?A2-A2Ans--broth,A2jello,A2softA2fruitA2noA2skin,

YouA2wereA2hiredA2toA2workA2theA2medicalA2unitA2andA2whenA2youA2arriveA2atA2workA2theA2
chargeA2nurseA2hasA2assignedA2youA2toA2theA2post-
surgicalA2unitA2sinceA2theyA2areA2understaffed.A2WhichA2isA2theA2MOSTA2appropriateA2acti
on?A2-A2Ans--ReportA2toA2theA2post-surgicalA2unit.

WhatA2isA2aA2protonA2pumpA2inhibitor,A2suchA2asA2pantoprazoleA2(Protonix)A2usedA2for?A2-
A2Ans--AcidA2Reduction


WhichA2adaptiveA2equipmentA2wouldA2beA2MOSTA2appropriateA2toA2useA2forA2aA2severely
A2contractedA2patientA2whoA2isA2unableA2toA2bearA2weightA2whenA2transferringA2fromA2theA
2bedA2toA2theA2chair?A2-A2Ans--PatientA2liftA2(e.g.,A2Hoyer)


WhichA2toolA2shouldA2youA2useA2toA2assessA2painA2inA2youA280-year-
oldA2patientA2withA2severeA2dementia?A2-A2Ans--PAINADA2scale

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

, YourA285-year-
oldA2patientA2withA2atrialA2fibrillationA2fellA2atA2homeA23A2daysA2ago.A2YouA2noticeA2sheA2ha
sA2beenA2havingA2severalA2episodesA2ofA2acuteA2confusionA2sinceA2beingA2admittedA2toA2y
ourA2unit.A2WhatA2isA2theA2MOSTA2importantA2orderA2youA2shouldA2anticipateA2fromA2theA2
provider?A2-A2Ans--StatA2CTA2ofA2head

YourA2patientA2hasA2aA2tempA2ofA2102.3A2F,A2HRA2122,A2andA2hasA2hadA215A2mLA2ofA2urin
eA2fromA2theA2indwellingA2urinaryA2catheterA2inA2theA2lastA22A2hours.A2WhatA2isA2yourA2pati
entA2MOSTA2likelyA2experiencing.A2-A2Ans--Sepsis

WhatA2typeA2ofA2personalA2protectiveA2equipmentA2(PPE)A2isA2appliedA2priorA2toA2entering
A2aA2roomA2forA2aA2patientA2withA2C.A2diff?A2-A2Ans--GownA2andA2gloves


YourA2patientA2continuesA2toA2pullA2atA2theirA2IVA2siteA2locatedA2inA2theirA2leftA2forearmA2de
spiteA2verbalA2remindersA2andA2increasedA2observation.A2TheA2nursingA2assistantA2recom
mendsA2usingA2softA2mittA2restraintsA2onA2theA2patient.A2WhatA2isA2yourA2recommendation
?A2-A2Ans--RequestA2anA2orderA2forA2softA2mittsA2asA2theyA2areA2theA2leastA2restrictive

YourA2patientA2wasA2admittedA2forA2aA2hypertensiveA2crisisA2andA2hasA2aA2historyA2ofA2HT
N,A2Parkinson'sA2disease,A2depression,A2andA2alcoholA2use.A2OnA2hisA2secondA2hospitaliz
edA2day,A2youA2noticeA2heA2isA2moreA2anxiousA2andA2restlessA2thanA2hisA2baseline.A2What
A2wouldA2beA2yourA2FIRSTA2nursingA2intervention?A2-A2Ans--
AskA2theA2patientA2whenA2hisA2lastA2drinkA2ofA2alcoholA2was.

WhatA2isA2theA2BESTA2indicationA2ofA2anA2acuteA2neurologicalA2problem?A2-A2Ans--
ChangeA2inA2levelA2ofA2consciousness

WhileA2inA2aA2supineA2positionA2yourA2patientA2states,A2"I'mA2tiredA2andA2cannotA2catchA2m
yA2breath."A2PhysicalA2assessmentA2revealsA2jugularA2veinA2distentionA2andA2aA2thirdA2he
artA2soundA2(S3).A2TheseA2symptomsA2areA2indicativeA2ofA2whatA2condition?A2-A2Ans--
HeartA2failure

YourA2newA2admissionA2presentsA2withA2aA2cough,A2unintentionalA2weightA2loss,A2frequen
tA2nightA2sweats,A2andA2bloodyA2sputum.A2WhatA2typeA2ofA2isolationA2precautionsA2should
A2youA2initiate,A2ifA2any?A2-A2Ans--AirborneA2precautions


PatientsA2withA2diabetesA2areA2atA2highA2riskA2forA2complicationsA2fromA2damageA2toA2wha
tA2bodyA2areas?A2-A2Ans--NerveA2andA2kidneyA2damage

IfA2yourA2patientA2withA2aA2knownA2historyA2ofA2diabetesA2isA2displayingA2symptomsA2ofA2di
aphoresis,A2coolA2skin,A2lethargy,A2andA2shakiness.A2WhatA2isA2yourA2firstA2action?A2-
A2Ans--CheckA2theA2patient'sA2bloodA2glucoseA2level.


YourA2patientA2tellsA2you,A2"IA2hopeA2IA2don'tA2die,A2butA2ifA2IA2doA2IA2don'tA2wantA2toA2beA2b
roughtA2back.?
A2YouA2noticeA2onA2herA2chartA2andA2wristA2bandA2thatA2sheA2isA2aA2fullA2code.A2WhatA2wo