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Nursing Delegation and Patient Care Scenarios Exam Questions With Complete Solutions

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Nursing Delegation and Patient Care Scenarios Exam Questions With Complete Solutions ABG result urgency - Answer-Immediate action needed for ABG result with pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96%. /.Acute decompensated heart failure (ADHF) - Answer-Sudden worsening of heart f...

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  • August 31, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing Delegation and Patient Care Scenarios
  • Nursing Delegation and Patient Care Scenarios
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ABG result urgency - Answer-Immediate action needed for ABG result with pH 7.31,
PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96%.

/.Acute decompensated heart failure (ADHF) - Answer-Sudden worsening of heart
failure symptoms

/.Acute kidney injury assessment - Answer-Expected assessment finding for a patient
with acute kidney injury and an arterial blood pH of 7.30.

/.Acute myocardial infarction (MI) - Answer-Heart attack resulting in damage to the heart
muscle

/.Acute pancreatitis carpal spasms - Answer-Action to take when observing carpal
spasms in a patient's right hand during blood pressure measurement for severe acute
pancreatitis.

/.Acute pancreatitis therapy monitoring - Answer-Laboratory test result monitored to
evaluate the effects of therapy for a patient with acute pancreatitis.

/.Acute pyelonephritis admission - Answer-Critical finding for a patient admitted with
acute pyelonephritis that requires immediate reporting.

/.AKI caused by dehydration - Answer-Critical information to report to the healthcare
provider for a patient hospitalized with acute kidney injury (AKI) due to dehydration.

/.Anticoagulant - Answer-Medication to prevent blood clot formation.

/.Aphasia - Answer-Loss of ability to understand or express speech.

/.Aphasic - Answer-Loss of ability to understand or express speech.

/.Aplastic anemia risk - Answer-High-risk complication for a patient with idiopathic
aplastic anemia: Infection.

/.Aspart (NovoLog) insulin administration - Answer-Correct actions taken by a patient
when administering aspart (NovoLog) insulin.

, /.Bacterial pneumonia - Answer-Lung infection caused by bacteria, leading to symptoms
like coarse crackles and thick sputum

/.Bariatric surgery - Answer-Surgical procedure for weight loss.

/.Buck's traction - Answer-Skin traction used to immobilize and position the lower limb.

/.Cholecystitis - Answer-Inflammation of the gallbladder.

/.Chronic pancreatitis medication scheduling - Answer-Scheduling recommendation for
a patient with chronic pancreatitis prescribed pancrelipase (Viokase).

/.Decorticate posturing - Answer-Abnormal posture with arms flexed, clenched fists, and
legs extended.

/.Diabetic ketoacidosis - Answer-A complication of diabetes characterized by rapid,
deep respirations.

/.Dual-energy X-ray absorptiometry (DXA) - Answer-Test to measure bone density.

/.Enoxaparin and warfarin - Answer-Medications used to treat VTE, with enoxaparin
working immediately and warfarin taking several days to prevent clots

/.Enteral nutrition complication - Answer-Report Na+ 154 mEq/L in a patient receiving
iso-osmolar continuous enteral nutrition.

/.Famotidine (Pepcid) - Answer-Medication that decreases gastric acid secretion.

/.Famotidine effect in PUD - Answer-Information to include when teaching a patient with
peptic ulcer disease about the effect of famotidine (Pepcid).

/.Furosemide - Answer-A diuretic medication used to treat hypertension and heart
failure

/.Gastric ulcer surgery care - Answer-Nurse would question infusing 5% dextrose in
water intravenously at 125 mL/hr.

/.Gastroesophageal reflux disease (GERD) - Answer-Chronic digestive disorder causing
stomach acid to flow back into the esophagus.

/.Glaucoma - Answer-Eye condition characterized by increased pressure within the eye

/.Graves' disease assessment - Answer-Identifying the most critical assessment finding
for a patient admitted with Graves' disease.

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