Exam (elaborations)
Exam (elaborations) Prophecy health medical surgical RN A 2022
- Institution
- Capella University
Prophecy health medical surgical RN A 2022
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ProphecyhealthmedicalsurgicalRNA2022
1.Whichadaptiveequipmentwouldbemostappropriatetousefora
severely
contractedpatientwhoisunabletobearweightwhentransferringfrom
bedto
chair
Correctanswer-PatientLiftexamplehoyer
2.Whatlabvaluesareexpectedtobeinapatientwithendstagerenal
diseaseon
hemodialysis
Correctanswer-BUN32,CREATNINE8.32
3.Your85yearoldpatientwithatrialfibrillationfellathome3daysago.
Younotice
shehasbeenhavingseveralepisodesofacuteconfusionsincebeing
admittedto
yourunit.Whatisthemostimportantorderyoushouldanticipatefrom
the
provider?You're?
Correctanswer-Holdwayfaring(coumadin)forthenext48hours
4.Yournewadmissionpresentswithacough,unintentionalweightloss,
frequent
knotsweats,andbloodysputum.Whattypeofisolationprecautions
shouldyou
initiate,ifany?
Correctanswer-Airborneprecautions
5.Uponenteringyourpatient'sroomyounotethattheyarehavinga
seizure.What
isyour1staction?
Correctanswer-Positionthepatientontheirsidetomaintaintheairway
6.Youfindyourcoworkerlookingthroughyourpatient'smedicalrecord..
She
StateshowisMr.Smithdoing?Heismybestfriend'sdad.Weareso
worried
abouthim.Whatisthebestcourseofaction?
Correctanswer-Tellheryoucannotgiveherinformationandreporther
actions toyourmanager.
7.Yourmalepatientcomplaintsofdiscomfortwhileinflatingtheballoon
during
insertionofaendwellingurinarycatheter.Whatwouldbethemost
appropriate
action?
Correctanswer-Deflatetheballoon,advancethecatheterfurther,then
reinflate
theballoon
8.YourpatienttakesregularinsulinandNPHtwiceA-dayforglucose
control.What
timesshouldthepatientbetaughttobealertforsignsofhypoglycemia?
Correctanswer-Islateafternoonandearlymorning
9.Whatisaprotonpumpinhibitor,suchaspantoprazole(protonix)used
for?
Correctanswer-Reducegastricacidsecretion
10.Yourpatienthasanonproductivecoughandpresenceofsecretions
inhis
tracheostomy.Priortosectioningthepatient,whatshouldyoudo1st?
Correctanswer-Hyperoxygenatepatient
11.dietaryteachingforapatientwithchronicrenalfailureshould
includechoicesthat
are:
Correctanswer-Lowpotassium,lowprotein,moderatefat
12.Whichofthefollowingnursingdiagnosisismostimportantfora
patientwith
chronicobstructivepulmonarydisease(COPD)
Correctanswer-Impairedgasexchange
13.YourpatientisadmittedfromtheEDwithfailuretothriveand
advanced
dementia.Younoteheisextremelyunderweight,appearsunbathedfor
some
time,andhasastage4pressureinjurytohiscoccyx.Youweretoldin
reportthat
helivesathomewithfamilymembers.Whatshouldyoudo?
Correctanswer-Notifythechargenurseandsocialworkerofyourconcerns.
14.Youhaveapatientgoingfordialysis.Therearemedicationsinclude
Lisinopril(prinivil),ondansetron(zofran),famotidine(pepcid)and
atorvastatin(lipitor).Whichmedicationwouldyoupossiblyholdandseek
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