Medical-Surgical RN A Prophecy Relias Questions And Answers Well Illustrated.

Medical-Surgical RN A Prophecy Relias Questions And Answers Well Illustrated. 1.2 qmilligrams qis qequal qto qhow qmany qmicrograms? q- q q q qcorrect qanswer.1200 qmcg Your qpost-op qpatient qhas qa qJackson-Pratt q(JP) qdrain qin qplace. qHow qdo qyou qensure qeffective qdrain qfunction? q- q q q qcorrect qanswer.Compress qthe qdrain, qthen qplug qthe qbulb qto qestablish qsuction Your qmale qpatient qcomplains qof qdiscomfort qwhile qinflating qthe qballoon qduring qinsertion qof qan qindwelling qurinary qcatheter. qWhat qwould qbe qthe qMOST qappropriate qaction? q- q q q qcorrect qanswer.Deflate qthe qballoon, qadvance qthe qcatheter qfurther, qthen qreinflate qthe qballoon Your qpatient qhas qsymptomatic qanemia qbut qis qrefusing qa qblood qtransfusion qfor qreligious qreason. qWhat qis qan qappropriate qresponse? q- q q q qcorrect qanswer.Respect qhis qwishes qand qnotify qthe qprovider Your qpatient qis qadmitted qwith qdiverticulitis. qWhat qtype qof qdiet qdo qyou qexpect qto qbe qordered qfor qthe qpatient? q- q q q qcorrect , qjello, qsoft qfruit qno qskin, You qwere qhired qto qwork qthe qmedical qunit qand qwhen qyou qarrive qat qwork qthe qcharge qnurse qhas qassigned qyou qto qthe qpost-surgical qunit qsince qthey qare qunderstaffed. qWhich qis qthe qMOST qappropriate qaction? q- q q q qcorrect qanswer.Report qto qthe qpost-surgical qunit. What qis qa qproton qpump qinhibitor, qsuch qas qpantoprazole q(Protonix) qused qfor? q- q q q qcorrect qanswer.Acid qReduction Which qadaptive qequipment qwould qbe qMOST qappropriate qto quse qfor qa qseverely qcontracted qpatient qwho qis qunable qto qbear qweight qwhen qtransferring qfrom qthe qbed qto qthe qchair? q- q q q qcorrect qanswer.Patient qlift q(e.g., qHoyer) Which qtool qshould qyou quse qto qassess qpain qin qyou q80-year-old qpatient qwith qsevere qdementia? q- q q q qcorrect qanswer.PAINAD qscale Your qpatient qis qadmitted qfrom qthe qED qwith qfailure qto qthrive qand qadvanced qdementia. qYou qnote qhe qis qextremely qunderweight, qappears qunbathed qfor qsome qtime, qand qhas qa qstage q4 qpressure qinjury qto qhis qcoccyx. qYou qwere qtold qin qreport qthat qhe qlives qat qhome qwith qfamily qmembers. qWhat qshould qyou qdo? q- q q q qcorrect qanswer.Notify qthe qcharge qnurse qand qsocial qworker qof qyour qconcerns. Your q85-year-old qpatient qwith qatrial qfibrillation qfell qat qhome q3 qdays qago. qYou qnotice qshe qhas qbeen qhaving qseveral qepisodes qof qacute qconfusion qsince qbeing qadmitted qto qyour qunit. qWhat qis qthe qMOST qimportant qorder qyou qshould qanticipate qfrom qthe qprovider? q- q q q qcorrect qanswer.Stat qCT qof qhead Your qpatient qhas qa qtemp qof q102.3 qF, qHR q122, qand qhas qhad q15 qmL qof qurine qfrom qthe qindwelling qurinary qcatheter qin qthe qlast q2 qhours. qWhat qis qyour qpatient qMOST qlikely qexperiencing. q- q q q qcorrect qanswer.Sepsis What qtype qof qpersonal qprotective qequipment q(PPE) qis qapplied qprior qto qentering qa qroom qfor qa qpatient qwith qC. qdiff? q- q q q qcorrect qanswer.Gown qand qgloves Your qpatient qcontinues qto qpull qat qtheir qIV qsite qlocated qin qtheir qleft qforearm qdespite qverbal qreminders qand qincreased qobservation. qThe qnursing qassistant qrecommends qusing qsoft qmitt qrestraints qon qthe qpatient. qWhat qis qyour qrecommendation? q- q q q qcorrect qanswer.Request qan qorder qfor qsoft qmitts qas qthey qare qthe qleast qrestrictive Your qpatient qwas qadmitted qfor qa qhypertensive qcrisis qand qhas qa qhistory qof qHTN, qParkinson's qdisease, qdepression, qand qalcohol quse. qOn qhis qsecond qhospitalized qday, qyou qnotice qhe qis qmore qanxious qand qrestless qthan qhis qbaseline. qWhat qwould qbe qyour qFIRST qnursing qintervention? q- q q q qcorrect qanswer.Ask qthe qpatient qwhen qhis qlast qdrink qof qalcohol qwas. What qis qthe qBEST qindication qof qan qacute qneurological qproblem? q- q q q qcorrect qanswer.Change qin qlevel qof qconsciousness While qin qa qsupine qposition qyour qpatient qstates, q"I'm qtired qand qcannot qcatch qmy qbreath." qPhysical qassessment qreveals qjugular qvein qdistention qand qa qthird qheart qsound q(S3). qThese qsymptoms qare qindicative qof qwhat qcondition? q- q q q qcorrect qanswer.Heart qfailure Your qnew qadmission qpresents qwith qa qcough, qunintentional qweight qloss, qfrequent qnight qsweats, qand qbloody qsputum. qWhat qtype qof qisolation qprecautions qshould qyou qinitiate, qif qany? q- q q q qcorrect qanswer.Airborne qprecautions Patients qwith qdiabetes qare qat qhigh qrisk qfor qcomplications qfrom qdamage qto qwhat qbody qareas? q- q q q qcorrect qanswer.Nerve qand qkidney qdamage If qyour qpatient qwith qa qknown qhistory qof qdiabetes qis qdisplaying qsymptoms qof qdiaphoresis, qcool qskin, qlethargy, qand qshakiness. qWhat qis qyour qfirst qaction? q- q q q qcorrect qanswer.Check qthe qpatient's qblood qglucose qlevel. Your qpatient qtells qyou, q"I qhope qI qdon't qdie, qbut qif qI qdo qI qdon't qwant qto qbe qbrought qback.? qYou qnotice qon qher qchart qand qwrist qband qthat qshe qis qa qfull qcode. qWhat qwould qbe qthe qMOST qappropriate qaction? q- q q q qcorrect qanswer.Discuss qcode qstatus qwith qthe qpatient qand qfollow qup qwith qprovider qto qensure qthe qmedical qrecord qreflects qher qwishes. Your qcoworker qposted qphotos qon qsocial qmedia qfrom qa qbirthday qparty qthey qhad qfor qher qin qthe qunit qbreakroom. qWhat qshould qbe qyour qNEXT qcourse qof qaction? q- q q q qcorrect qanswer.No qaction qis qnecessary qbecause qno qPHI qwas qdisplayed. Your qnew qpatient qunderstands qvery qlimited qEnglish. qHow qshould qyou qcommunicate qwith qthem qwhen qcompleting qthe qadmission qassessment? q- q q q qcorrect qanswer.Use qthe qorganization's qinterpreter qservices. You qare qcaring qfor qa qpatient qwith qa qhistory qof qdiabetes qmellitus. qYou qwalk qinto qthe qroom qand qfind qthe qpatient qlethargic qand qdiaphoretic. qWhat qis qyour qfirst qaction? q- q q q qcorrect qanswer.Obtain qcapillary qblood qglucose qlevel. Your qpatient qis q4 qhours qpost qopen qappendectomy qand qhas qnot qvoided qyet. qYou qnote qhis qlower qabdomen qis qdistended. qWhat qshould qyou qdo qNEXT? q- q q q qcorrect qanswer.Perform qa qbladder qscan A qpatient qwith qperitonitis qpresents qwith qtachycardia, qhypotension, qand qdehydration. qWhat qother qassessment qfinding qwould qyou qanticipate qas qpart qof qyour qphysical qassessment? q- q q q qcorrect qanswer.Severe qabdominal qpain qor qrebound qtenderness What qis qthe qEARLIEST qsign qindicating qincreased qintracranial qpressure q(ICP)? q- q q q qcorrect qanswer.Level qof qconsciousness In qaddition qto qpain, qpallor, qand qpulselessness, qa qneurovascular qassessment qalso qincludes qchecking qfor: q- q q q qcorrect qanswer.Paresthesia qand qparalysis You qreceived qa qreport qon qa qpatient qthat qsustained qa qright qhemisphere qCVA q48 qhours qago. qWhat qdo qyou qexpect qthe qpatient qto qexhibit? q- q q q qcorrect qanswer.Left qsided qweakness qof qthe qleg, qarm, qand qface. You qare qordered qto qgive qdigoxin q(Lanoxin). qYour qpatients qvital qsigns qare: qBP q130/70, qTemp q97.9F, qHR q52, qRR q16, qO2 qSat q100% qon qroom qair. qWhat qshould qyou qdo qNEXT? q- q q q qcorrect qanswer.Hold qdigoxin q(Lanoxin) qand qcall qthe qprovider Upon qentry qto qyour qpatient's qroom, qyou qfind qher qsitting qin qHigh qFowler's qposition qand qcomplaining qof qshortness qof qbreath. qHer qrespiratory qrate qis q34 qbreaths/min qand qO2 qsat qis q84%. qWhich qmode qof qoxygen qdelivery qwould qMOST qlikely qreverse qthese qsymptoms? q- q q q qcorrect qanswer.Non-rebreather qmask Your qpatient qis qon qcontact qprecautions qfor qactive qMRSA. qWhat qproper qPPE qshould qyou quse qbefore qentering qthe qroom? q- q q q qcorrect qanswer.Gown qand qgloves Your qpatient qrecently qhad qa qG-tube qplaced qand qintermittent qenteral qfeedings qhave qbeen qinitiated. qWhat qsymptoms qmay qindicate qintolerance qto qthe qfeedings? q- q q q qcorrect qanswer.Vomiting qand qdiarrhea Upon qentering qyour qpatient's qroom, qyou qnote qthat qthey qare qhaving qa qseizure. qWhat qis qyour qFIRST qaction? q- q q q qcorrect qanswer.Position qthe qpatient qon qtheir qside qto qmaintain qthe qairway. Your q18-year-old qfemale qpatient qwas qadmitted qwith qdehydration qsecondary qto qanorexia qnervosa. qDuring qyour qassessment qyou qnote qshe qhas qa qflat qaffect qand qsays, q"I qjust qwant qto qdie. qI'm qtired qof qmy qlife." qWhat qshould qbe qyour qFIRST qintervention? q- q q q qcorrect qanswer.Stay qwith qthe qpatient qand qask qfi qshe qhas qa qplan qto qcarry qout qthis qwish. Your qpatient qhas qa qnon-productive qcough qand qpresence qof qsecretions qin qhis qtracheostomy. qPrior qto qsuctioning qthe qpatient, qwhat qshould qyou qdo qFIRST? q- q q q qcorrect qanswer.Hyperoxygenate qpatient. Your qpatient qtakes q5 qmg qof qwarfarn q(Coumadin/Jantoven) qdaily qand qreports qhaving qblack qcolored qstool qtoday. qWhat qdo qyou qmost qlikely qsuspect? q- q q q qcorrect qanswer.Gastrointestinal qbleeding Your qnew qpatient qwas qadmitted qwith qblunt qforce qtrauma qto qthe qabdomen qfollowing qa qmotor qvehicle qaccident q(MVA). qA qNG qtube qis qin qplace qfor qdecompression; qhowever, qyou qnote qduring qthe qassessment qthat qthe qstomach qis qrigid qand qhard qduring qpalpation. qWhat qcondition qdo qyou qsuspect? q- q q q qcorrect qanswer.Hemorrhage Which qof qthe qfollowing qnursing qdiagnoses qis qMOST qimportant qfor qa qpatient qwith qchronic qobstructive qpulmonary qdisease q(COPD)? q- q q q qcorrect qanswer.Impaired qgas qexchange You qhave qa qpatient qgoing qfor qdialysis. qTheir qmedications qinclude qlisinopril q(Prinivil), qondansetron q(Zofran), qfamotidine q(Pepcid), qand qatorvastatin q(Lipitor). qWhich qmedication qwould qyou qpossibly qhold qand qseek qclarification? q- q q q qcorrect idine q(Pepcid) What qis qan qearly qsymptom qthat qthe qpatient qis qdeveloping qa qcomplication qof qheart qfailure? q- q q q qcorrect qanswer.Edema qin qthe qlegs qand qfeet Black qand qtarry qcolored qstools qare qCLASSIC qsymptoms qof qwhat qcondition? q- q q q qcorrect qanswer.Bleeding qgastric qulcer You qhave q4 qpatients qwho qhave qhigh qpriority qneeds. qOne qneeds qto qgo qto qsurgery, qone qneeds qSTAT qlab qdraws qfrom qa qPICC qline, qanother qhas qchest qpain qrated q8/10, qand qanother qneeds qtoileting. qWhich qpatient qshould qyou qtend qto qFIRST? q- q q q qcorrect qanswer.The qpatient qwith qchest qpain Your qpatient qwith qHepatitis qC qexhibits qsigns qof qjaundice qand qa qdistended qabdomen. qWhat qprocedure qwould qyou qanticipate qbeing qperformed qby qthe qprovider qat qthe qbedside qfor qthis qpatient? q- q q q qcorrect qanswer.Paracentesis What qis qclubbing qof qthe qfingers qMOST qlikely qassociated qwith? q- q q q qcorrect qanswer.Chronic qoxygen qdeficiency A qpatient qon qwarfarin q(Coumadin/Jantoven) qhas qan qINR qof q6. qWhich qmedication qwould qyou qanticipate qadministering? q- q q q qcorrect qanswer.Vitamin qK To qreduce qthe qrisk qof qinfection qand qphlebitis qin qan qadult qpatient qwith qa qperipheral qIV, qwhat qis qthe qMINIMUM qduration qthe qcatheter qshould qremain qin qplace qbefore qROUTINE qreplacement? q- q q q qcorrect qanswer.72 qhours You qare qcaring qfor qa qpatient qpost qlobectomy qwith qa qchest qtube qin qplace qfor qdrainage. qWhat qis qa qpriority qin qcare qfor qthis qpatient? q- q q q qcorrect qanswer.Encourage qthe qpatient qto qcough qand qdeep qbreathe. What qpatient qpopulation qis qthe qpneumococcal qvaccine, qPPSV23 qindicated qfor? q- q q q qcorrect qanswer.Adults qaged q65 qyears qand qolder Your qpatient qwith qstave qIV qterminal qlung qcancer qcontinues qto qexperience qincreasing qpain qas qeach qday qpasses. qWhat qwould qyou qanticipate qthe qprovider qordering qfor qthis qpatient? q- q q q qcorrect qanswer.Palliative qcare qconsult The qprovider qgives qyou qa qtelephone qorder qto qexplain qa qsurgical qprocedure qto qyour qpatient qand qobtain qsurgical qconsent. qHow qshould qyou qrespond? q- q q q qcorrect qanswer.Inform qthe qprovider qthat qexplaining qthe qprocedure qis qoutside qthe qnurse's qscope qof qpractice. The qpatient qhas qdiltiazem qHCl q(Cardizem qCD) qordered qand qis qrequesting qthe qcapsule qbe qmixed qinto qher qmorning qyogurt. qHow qshould qyou qrespond? q- q q q qcorrect qanswer."Sorry, qit qis qa qslow-release qmedication qthat qcannot qbe qopened qor qcrushed." Your q72-year-old qmale qpatient qis qadmitted qfor qcolon qcancer qrelated qcomplications qand qhas qa qhistory qof qCHF, qstroke, qand qa qrecent qknee qreplacement. qBased qon qyour qpatient's qrisk qassessment, qyou qdetermine qhe qis qat qrisk qfor qvenous qthromboembolism q(VTE). qWhat qis qan qappropriate qVTE qprophylaxis qorder qfor qthis qpatient? q- q q q qcorrect qanswer.Enoxaparin q(Lovenox) qonce qdaily qand qintermittent qpneumatic qcompressions q(IPC) You qreceive qa qprovider's qorder qthat qis qnot qconsistent qwith qevidence-based qpractice. qWhat qis qyour qFIRST qstep? q- q q q qcorrect qanswer.Clarify qthe qorder qwith qthe qprovider. When qwould qsucralfate q(Carafate) q4 qtimes qdaily qbe qscheduled qfor? q- q q q qcorrect qanswer.1 qhour qbefore qmeals qand qat qbedtime Your qpatient's qmorning qlabs qrevealed qa qhemoglobin qlevel qof q6.3 qand qhematocrit qof q18. qWhat qblood qproduct qdo qyou qexpect qto qadminister? q- q q q qcorrect qanswer.PRBCs Your q68-year-old qpatient qis qa qType q1 qdiabetic qwith qa qhistory qof qschizophrenia qand qexhibits qsigns qand qsymptoms qof qtardive qdyskinesia. qWhat qlong-term qmedication qis qassociated qwith qsigns qand qsymptoms qof qtardive qdyskinesia? q- q q q qcorrect ridone, qolanzapine, qquetiapine, qziprasidone, qaripiprazole, qpaliperidone, qlurasidone, qchlorpromazine, qfluphenazine, qhaloperidol, qperphenazine Your q80-year-old qpatient qis qbeing qdischarged qhome qpost qCVA. qShe qlives qalone, qyet qstill qrequires qassistance qwith qADLs. qWhat qreferral qis qMOST qappropriate qto qensure qher qneeds qare qmet? q- q q q qcorrect qanswer.Case qManager Central qTelemetry qcalls qand qtells qyou qyour qpatient qis qexperiencing qbradycardia. qWhat qis qthe qfirst qthing qyou qshould qdo qafter qentering qthe qroom? q- q q q qcorrect qanswer.Assess qthe qpatient qand qtake qvital qsigns. Your qpatient qis qcurrently qunder q1:1 qobservation qfor qsuicide qprecautions. qHe qstates qhe qneeds qto qhave qa qbowel qmovement qand qwould qlike qsome qprivacy qto quse qthe qbathroom. qWhat qis qthe qMOST qappropriate qresponse? q- q q q qcorrect qanswer."I qmust qbe qwithin qan qarms' qlength qview qof qyou qat qall qtimes qfor qyour qsafety, qincluding qwhile qusing qthe qbathroom." A qfemale qpatient qrequests qa qfemale qnurse qto qprovide qcare qfor qher qbased qon qher qreligious qbeliefs. qWhat qis qthe qMOST qappropriate qaction qto qtake? q- q q q qcorrect qanswer.Accommodate qher qrequest qif qpossible. Your qpatient qis qa q40-year-old qfemale qwith qa qrecent qhistory qof qhair qloss, qextremely qdry qskin, qa qnd qa q20-point qweight qloss qin qthe qlast q3 qweeks. qShe qalso qexhibits qoccasional qepisodes qof qtremors qin qher qupper qextremities. qWhat qcondition qdo qthese qsymptoms qMOST qlikely qindicate? q- q q q qcorrect qanswer.Hyperthyroidism Insulin qlispro q(Humalog) qis qorders qvia qsliding qscale qa.c. qfor qyour qpatient qwith qdiabetes. qWhen qis qthe qbest qtime qto qadminister qinsulin qlispro q(Humalog)? q- q q q qcorrect qanswer.15 qmin qbefore qthe qmeal qarrives Which qof qthe qfollowing qwould qbe qused qas qpart qof qthe qpreop qprocedure qto qprevent qinfection? q- q q q qcorrect qanswer.Prophylactic qantibiotics Two qdays qafter qsurgery, qyour q72-year-old qpatient qis qshowing qsigns qof qagitation qand qconfusion, qwhich qis qnot qhis qbaseline. qThe qseverity qfluctuates qthroughout qthe qday. qHis qmedications qinclude qhydromorphone q(Dilaudid), qamlodipine q(Norvasc), qalprazolam q(Xanax), qand qcarbidopa-levodopa q(Sinemet). qWhat qcondition qdo qyou qMOST qlikely qsuspect? q- q q q qcorrect qanswer.Delirium What qis qthe qproper qtechnique qwhen qsuctioning qa qtracheostomy? q- q q q qcorrect qanswer.Suction qin qa qcircular qmotion qwhile qthe qcatheter qis qbeing qpulled qout.