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2024 Prophecy Health Medical Surgical
RN A
What lab values are expected to be in a patient with end-stage renal disease
on hemodialysis BUN 32, CREATININE 8.32
Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You
notice she has been having several episodes of acute confusion since being
admitted to your unit. What is the most important order you should
anticipate from the provider?:?: Answer✓✓ You're?:?: Answer✓✓
Hold wayfaring (coumadin) for the next 48 hours.
Your new admission presents with a cough, unintentional weight loss,
frequent knot sweats, and bloody sputum. What type of isolation precautions
should you initiate, if any?:?: Answer✓✓
Airborne precautions
Upon entering your patient's room you note that they are having a
seizure. What is your 1st action ?:?:Answer✓✓
Position the patient on their side to maintain the airway
You find your coworker looking through your patient's medical record. She
States how is Mr. Smith doing?:?: Answer✓✓ He is my best friend's dad. We
are so worried about him. What is the best course of action?:?:Answer✓✓
Tell her you cannot inform and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon
during the insertion of an endwelling urinary catheter. What would be
the most appropriate action?:?: Answer✓✓
Deflate the balloon, advance the catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control.
What times should the patient be taught to be alert for signs of
hypoglycemia?:?:Answer✓✓
Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole
(protonix) used for?:?:Answer✓✓ Reduce gastric acid
secretion