What is the best indication of an acute neurological problem? - answerChange in level of
consciousness
Your patient is admitted with diverticulitis.
... [Show More] What type of diet do you expect to be ordered for the
patient? - answerClear liquids
Which tool should you use to assess pain in your 80 year old patient with severe dementia? -
answer?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain
function? - answerCompress the drain, then plug the bulb to establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. What other
assessment finding would you anticipate as part of your physical assessment? - answerSevere
abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin,
lethargy, And shakiness. What is your 1st action? - answerCheck the patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - answerVitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath". Physical
assessment reveals juggler vein distention and a 3rd heart sound(S3). These symptoms are
indicative of what condition? - answerHeart failure
Upon entry to your patient's room, you find her sitting in high Fowler's Position and complaining
of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat is 84%. Which mode
of oxygen delivery would most likely reverse the symptoms? - answerNon rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal reminders And
increased observation. The nursing assistant recommends using soft mitt Restraints on the
patient. What is your recommendation? - answerRequest and order for soft mitts As they are the
least restrictive..
What is an early symptom that a patient is developing a complication of heart failure? -
answerEdema in the legs and feet
You were hired to work the medical unit and when you arrive at work the charge nurse has
assigned you to the post surgical unit since they are under staffed. Which is the most appropriate
action? - answerReport to the post surgical unit
What type of personal protective equipment(Ppe) Is applied prior to entering a room for a patient
with with C diff? - answerGown and gloves
When would sucralfate(Carafate) 4 times daily be scheduled for? - answer1 hour before meals and
at bedtime
Your new patient was admitted with Blunt force trauma to the abdomen Following a motor
vehicle accident. A NG Tube is in place for decompression, however, you note during the
assessment that the stomach is rigid and hard during palpation. What condition do you suspect. -
answerHemorrhage
What is clubbing of the fingers most likely associated with? - answerChronic oxygen deficiency
Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen. What
procedure would you anticipate being performed by the provider at the bedside for this patient? -
answerParacentesis
Is the provider gives you a telephone order to explain a surgical procedure to your patient and
obtain surgical consent. How should you respond? - answerInform the provider that explaining
the procedure is outside the nurse's scope of practice.
You're patient Recently had a G Tube Placed and interminent enteral Feedings have been
initiated. What symptoms may indicate intolerance to the feedings? - answerVomiting and
diarrhea
You are caring for a patient post lobotomy With a chest tube in place for drainage. What is a
priority in caring for this patient? - answerEncourage the patient to cough and deep breathe.
Your new patient understands very limited English. How should you communicate with them
when completing the admission assessment? - answerUse the organizations interpreter services
You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp 97.9F, HR
52, RR 16, o2 sat 100% on room air. What should you do next? - answerHOLD DIGOXIN AND
CALL PROVIDER
Your patient tells you I hope I don't die, but if I do I don't want to be brought back. You notice on
her chart and wrist band that she is a full code. What would be the most appropriate action? -
answerDiscuss code status with the patient and follow up with the provider to ensure the medical
record reflects her wishes
What are the most common causes of acute onset pancreatitis? - answerAlcoholism and gallstones
Your 18 year old female patient was admitted with dehydration secondary to anorexia nervosa.
During your assessment you note she has a flat effect and says" I just want to die, I'm tired of my
life ". What should be your 1st intervention? - answerStay with the patient and ask if she has a plan
to carry out this wish
A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? -
answer? [Show Less]