Medical Surgical Telemetry B, all

Medical Surgical Telemetry B, all answered 100% correct.

Question: The physician has ordered for your COPD patient

to receive 80mg of Solu-Medrol IV every 8 hours. The medication is supplied as 125 milligrams in a 2ml vial. How much of the medication should the nurse administer to ensure the ordered dose is given?Correct answer: To calculate the correct dose:

• The medication is supplied as 125 mg in 2 mL, so the

concentration is 125 mg / 2 mL = 62.5 mg/mL.

• The ordered dose is 80 mg.
• Volume to administer = Ordered dose / Concentration = 80

mg / 62.5 mg/mL = 1.28 mL.The nurse should administer 1.28 mL of Solu-Medrol IV.

Question: Which of the following PPE is required for the staff

entering a patient's room who has been diagnosed with pneumonia and is positive for MRSA?

Correct answer: Gown, gloves, and mask. MRSA requires

contact precautions (gown and gloves), and since the patient

has pneumonia, droplet precautions (mask) are also needed due to potential respiratory transmission.

Question: You enter your patient's room and find the patient

unresponsive and without a pulse. What should be your FIRST action?

Correct answer: Call for help and initiate CPR. According to

ACLS guidelines, the first action is to call for assistance (e.g., code team) and begin chest compressions immediately to restore circulation.

Question: You are caring for a diabetic patient admitted for

uncontrolled blood sugar. You observe that the patient is non- compliant with her diet, complains of the meals offered by the hospital, and saw her eat 3 large cookies brought in from home. You know the patient needs further education when

she states:

Correct answer: "I can eat whatever I want as long as I check

my blood sugar." This statement indicates a misunderstanding of dietary management in diabetes, as uncontrolled carbohydrate intake can lead to poor glycemic control regardless of monitoring.

Question: You are caring for a patient admitted with

diverticulitis. The patient has NKDA. Which of the following admission orders would you expect for this patient?

Correct answer: NPO, IV fluids, antibiotics. For acute

diverticulitis, patients are typically placed on bowel rest (NPO), given IV fluids for hydration, and prescribed antibiotics to treat infection. Anticholinergics are not standard for this condition.

Question: You are caring for a patient with a lower GI bleed.

Which of the following is characteristic of this diagnosis?

Correct answer: Bright red blood in stools. Lower GI bleeds

typically present with hematochezia (bright red or maroon stools), whereas black tarry stools (melena) are characteristic of upper GI bleeds.

Question: Your patient who was admitted 5 days ago begins

to have diarrhea. After notifying the physician, what action should you take NEXT?

Correct answer: Obtain a stool sample for testing (e.g., C.

difficile). Hospital-acquired diarrhea, especially after 5 days,

may be due to C. difficile infection, and testing is needed before initiating treatments like Imodium, which could worsen the condition.

Question: Your patient has dysphagia. Which of the following

should be implemented?

Correct answer: Speech therapy evaluation and modified diet

(e.g., thickened liquids or pureed foods). Dysphagia requires assessment by a speech therapist to determine safe swallowing strategies and appropriate diet modifications, rather than automatically placing the patient on NPO status.

Question: You are caring for a diabetic patient diagnosed with

CHF. The patient is on Lasix and Solu-Medrol IV. Which of the following educational topics would be appropriate for you to include as part of patient teaching?

Correct answer: Monitor for signs of fluid overload and report

weight gain. Lasix is used to manage fluid overload in CHF, and Solu-Medrol can cause fluid retention, so educating the patient to monitor weight and symptoms like swelling is critical. Visual disturbances are less directly related to these medications in this context.