Medical-Surgical RN A Prophecy Relias
Your 80-year-old patient is being discharged home post CVA. She lives alone, yet still requires assistance with ADLs. What referral is MOST appropriate to ensure her needs are met?
Correct Answer:
Case Manager
Central Telemetry calls and tells you your patient is experiencing bradycardia. What is the first thing you should do after entering the room?
Correct Answer:
Assess the patient and take vital signs.
Your patient is currently under 1:1 observation for suicide precautions. He states he needs to have a bowel movement and would like some privacy to use the bathroom.What is the MOST appropriate response?
Correct Answer:
"I must be within an arms' length view of you at all times for your safety, including while using the bathroom."
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A female patient requests a female nurse to provide care for her based on her religious beliefs. What is the MOST appropriate action to take?
Correct Answer:
Accommodate her request if possible.
Your patient is a 40-year-old female with a recent history of hair loss, extremely dry skin, a nd a 20-point weight loss in the last 3 weeks. She also exhibits occasional episodes of tremors in her upper extremities. What condition do these symptoms MOST likely indicate?
Correct Answer:
Hyperthyroidism
Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes.When is the best time to administer insulin lispro (Humalog)?
Correct Answer:
15 min before the meal arrives
Which of the following would be used as part of the preop procedure to prevent infection?
Correct Answer:
Prophylactic antibiotics
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Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his baseline. The severity fluctuates throughout the day. His medications include hydromorphone (Dilaudid), amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition do you MOST likely suspect?
Correct Answer:
Delirium
What is the proper technique when suctioning a tracheostomy?
Correct Answer:
Suction in a circular motion while the catheter is being pulled out.
Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. She is feeling panicked and does not think she can handle staying in the hospital for her surgery. What action is MOST appropriate for you to take?
Correct Answer:
Sit calmly next to her and offer her compassion and a sense of security.
The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours.How many mLs per hour should the IV pump be set to?
Correct Answer:
167 mL/hr
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