QUESTIONS WITH CORRECT ANSWERS 2025
Using the SBAR format, identify the info. Nurse Allyson received from report that
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will enable her t o provide safe care to Mr. Jones. - CORRECT ANSWER -S-
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Situation
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The ED admitted Mr. Jones at 4:30 AM for SOB and weakness.
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he is transferring t o the telemetry unit.
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B U 2 - U 2 Background
60 year old African-
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American male with a history of peripheral vascular disease, type 2 diabetes,
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chronic kidney diseas e, coronary artery disease, and atrial fibrillation. A provider
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recently discharged him from the facilit y after he treated Mr. Jones for atrial
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fibrillation and a type 2 diabetic ulcer of the right foot. Mr. J ones did not
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complete prescribed antibiotics after his discharge. He is non compliant in
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managing his diabetes. He smokes one pack of cigarettes a day and uses
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alcohol 3 to 5 times a week.
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A U 2 - U 2 Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are: BP 112/70, P:
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158, R: 34, T: 99.1, a nd O2 sat 91% on 2 L via nasal cannula. ECG
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indicates atrial fibrillation; placed on telemetry. Chest x-
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ray: opacities greater in the right lung than left lung. Altered lab values
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include: sodium 128, potas sium 5.1, BUN 44, creatinine 3.0, and glomerular
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filtration rate 25. His total bilirubin was 2.8, calci um 8.7, WBCs 16.1,
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hemoglobin 9.3, hematocrit 28.2, and blood glucose 71. We did a digoxin level
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, which was 0.6. He has a soiled dressing on his right foot and is a
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stage III ulcer. A #20 gauge IV catheter was inserted peripherally in his left
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forearm and a nurse gave him 1,000 mL of 0.9% sodiu m chloride. Intake:
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1,000 mL Output: None. No family present.
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Nurse Allyson is preparing to perform
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foot. After removing the exam gloves,
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needed supplies, what are the next s
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dressing change? - CORRECT ANSWER
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1. Apply clean gloves. U 2 U 2
2. Remove dressing and place in moisture-proof bag.
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3. Remove clean gloves. U 2 U 2
4. Wash hands. U2
5. Apply sterile gloves. U 2 U 2
6. Cover with sterile gauze. U 2 U 2 U 2