MED SURG TELEMETRY R N QUESTION

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MED SURG TELEMETRY R N QUESTION

AND ANSWERS CORRECTL Y SOLVED

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?

Correct 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?

Correct answer: Acetylsalicylic acid ( Bauer buffered aspirin)

Question : When taking care of a patient with pancreatitis,

which of the following lab should be reviewed?

Correct answer: Lipase and amylase

Question : You're caring for a 12 hour postoperative

parathyroidectomy patient. Which assessment finding would indicate an emergency?

Correct answer: Laryngeal strider

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Question : Which of the following actions would be considered

a violation of Hyppa?

Correct 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?

Correct 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?

Correct answer: Honor the patient's wishes

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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?

Correct 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?

Correct answer: Subcutaneous emphysema

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?

Correct 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:

Correct answer: Pulmonary embolism?

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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

Correct 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?

Correct 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?

Correct 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

Correct answer: KCI 40 mEq IV push STAT

Question : What is the first sign of increased intracranial

pressure?