Prophecy Medical Surgical-telemetry

24 July 2022
4.7 (114 reviews)
53 test answers

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question
You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You do not speak Spanish and are having difficulty communicating with your patient. Which of the following resources would be most appropriate to utilize in order to obtain consent?
answer
The hospitals language interpreter
question
You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following medication should you question?
answer
Acetylsalicylic acid ( Bauer buffered aspirin)
question
When taking care of a patient with pancreatitis, which of the following lab should be reviewed?
answer
Lipase and amylase
question
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indicate an emergency?
answer
Laryngeal strider
question
Which of the following actions would be considered a violation of Hyppa?
answer
Looking through the chart of a coworker admitted to your unit
question
You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. He asks you about the procedure what would be the most therapeutic response?
answer
Due to the size of the kidney stone it is an appropriate treatment? NOT:Print reading materials about the subject and give it to the patient
question
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a sudden cardiac arrest and family wants CPR initiated. How should you respond?
answer
Honor the patient's wishes
question
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of discomfort what is the best action?
answer
Aspirate the fluid, advance the catheter farther, then re-inflate the balloon
question
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and anticipate which diagnosis?
answer
Subcutaneous emphysema
question
You are providing patient education to a patient prior to administering IV Protonix.... When there is no history of GERD
answer
Protonix is given as G.I. prophylaxis to prevent stress ulcers
question
The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per minute O2 saturation of 82%. What medication would be given in the situation?
answer
Narcan
question
You were caring for a patient who is 18 hours postop after a right BKA a. They report sudden chest pain pulse ox at 86%. The patient may be experiencing:
answer
Pulmonary embolism
question
Cardiac strip
answer
Unable to determine
question
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's blood sugar is currently 60. Which of the following is the most appropriate intervention
answer
Have the patient drink 120 ML's of orange juice
question
Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease?
answer
Wheat bread
question
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose?
answer
A respiratory rate of 8 breaths per minute
question
Your patient was admitted with severe dehydration. Which of the following orders would you question
answer
KCI 40 mEq IV push STAT
question
What is the first sign of increased intracranial pressure?
answer
Change in LOC
question
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is most likely to be ordered?
answer
Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin
question
The Glasgow, scale ranges from:
answer
3 to 15
question
You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. What education should you provide to the nurse aide
answer
And washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-diff
question
Heart rate
answer
80
question
Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy?
answer
Sputum with streaks of blood NOT: increased salivation
question
Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action?
answer
Compress the drain, then plug the bulb to establish suction
question
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response?
answer
Educate the spouse on oxygen use as a medical device in the hospital
question
Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the first time two hours after the orders received. What should be done with this urine sample?
answer
Discarded, then begin the 24 hour collection
question
Which of the following lab values would you expect to see in a patient diagnosed with?....
answer
Lipase - 196
question
You were caring for a patient admitted with abdominal pain. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis?
answer
Upper G.I. bleed
question
Your COPD patient is complaining of wheezing and increased shortness of breath
answer
Assess your patient for a change in condition
question
What information is vital for you to know prior to administering an ordered dose of digoxin
answer
Heart rate
question
Your patient has been diagnosed with a hemorrhagic CVA
answer
Heparin infusion per pharmacy protocol
question
A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of:
answer
Pulmonary embolism? NOT: tuberculosis
question
You're reviewing the menu list of a patient on Warfran what food should they not eat?
answer
Spinach
question
Which of the following issues should be reported up the chain of command
answer
A coworker arriving to work under the influence of alcohol
question
You're providing discharge instructions to a CHF patient.
answer
Increase shortness of breath
question
cardiac rhythm
answer
V-Tach
question
Which of the following electrolyte value should be Addressed immediately by the nurse
answer
Potassium 2.5 mEq/L
question
Which of the following medication may cause urine discoloration
answer
Rifampin
question
Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter
answer
1520
question
When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is:
answer
Protecting the patient's head and extremities from contact with surrounding objects
question
You went to the room of a 58-year-old female. You find that the patient's cardiac monitor shows asystolye, what should be your first action?
answer
Assess the patient Not: start CPR
question
Didn't nurse ask you about the typical signs and symptoms of myocardial infarction
answer
Women could have pain in their arm, neck, back or jaw
question
While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to sign for the ways that you did not witness
answer
Refused to sign for the waste
question
Cardiac strip
answer
Sinus rhythm with PAC
question
You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid?
answer
Canned meats
question
Your patient complains of not being able to urinate since 0500. It is now 1900. What should be your next step?
answer
Perform a bladder scan
question
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL
answer
4ml
question
After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values?
answer
NOT: ammonia
question
Your patient fell and hit his head on the bed rail during a physical therapy session. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The patient is lying in a supine position. What should be your first response?
answer
Call a rapid response
question
Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye
answer
Metformin
question
You're a king for a patient who is postop after surgical removal of fibroids. She hears a pop sound after coughing in her surgical wound has dehisced
answer
Apply sterile saline soap towels over the extruding site
question
One of the signs of left sided heart failure is:
answer
Pulmonary edema NOT: pedal edema
question
Your patient had a TB skin test done on Thursday at 2:45 PM
answer
Saturday at 3 PM