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1. Patient with CHF, what lab value would Potassium
you pay attention to?
2. Patient with stroke and R sided vision Teach the patient to scan the environment
loss. You plan to do which of the follow-
ing?
3. Patient with bowl tumor. Which diagnos- Biopsy
tic test would confirm the malignancy?
4. Patient getting Antineoplastic (Chemo). Consult the physicians before getting immu-
What would you include in their plan of nizations
care?
5. Patient has upper GI bleeding and in Obtain and evaluate vital signs
moderate distress. What is your first pri-
ority?
6. You have a patient with pulmonary ede- Daily weights
ma about to be discharged. What would
you tell them to manage and prevent
complications?
7. You have given patient benedryl and I can still take my sleeping pill with my benedryl
then educate the patient on this medica-
tion. Which statement indicates need for
further teaching?
8. The nurse is caring for patient with ter- Provide emotional support for loved ones (An-
minal cancer and close to death. What is swer D)
the priority intervention for this patient?
9. Turn your head slowly to minimize vertigo.
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, NUR 185 Final Exam
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Patient with chronic vertigo. Teaching
them about preventions of exacerba-
tions or injury. What would you educate
the patient on?
10. Teaching a patient how to use a walker. Be certain there is a 45 degree angle of flexion
What statement would the nurse ques- at the elbow to ensure adequate length of the
tion? walker
11. You have a patient from the OR follow- Check the blood pressure.
ing hip replacement. Patient is in bed
in high-fowlers. Skin is pale, cold, and
clammy. What actions would you take at
this time?
12. You have 4 patients in long-term care 29 year old patient with down syndrome. 1 week
facility. Which patient would be priority? post op temp of 101, pulse 110, shivering.
13. You have a patient on the coumadin Give 5MG coumadin today (to offset the imbal-
3MG a day. INR today is 1.2 (low). What ance)
order would you carry out?
14. Caring for diabetic patient who just took Go get a new glucose test and recheck.
shower. HR is 70, skin is warm and dry.
You take their BS and it is 42. What would
you do?
15. You have a patient that just vomited cof- Stop the heparin drip, give vitals, and provide
fee ground emesis. 350 ML on the floor. emotional support (one answer)
(indicative of GI bleed) on the cardiac
floor on heparin drip. What are you go-
ing to do?
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