Exam (elaborations)
FUNDAMENTALS SWIFT RIVER QUESTIONS AND ANSWERS
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FUNDAMENTALS SWIFT RIVER QUESTIONS AND ANSWERS
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Name: Score:22 Multiple choice questions
Definition 1 of 22
-Comfort
-Gas exchange
-Perfusion
1-Take her BP in both her arms
-Assess radial and apical pulse for 60 seconds
-If concerned about the accuracy, take BP with a manual cuff
2-Have the patient rest in the same position and repeat BP assessment in 15 minutes
-Have a nursing colleague verify BP readings
-Notify Healthcare Provider of findings
3-Switch pulse ox to the right hand
-Consider warming the patient's hands to get an accurate reading
-Check the pulse ox on your finger
-Ensure there is no fingernail polish on the pulse ox
4-Observe the complete respiratory cycle
-Observe the degree of chest wall movement while counting the rate and palpate the chest
wall excursion
-Auscultate the lungs
5-Take an axillary temperature with the blue electronic thermometer
-Use a temporal or tympanic thermometer, if available
Karen Cole Room 304
Jody Rush Room 304
Don Johnson Room 302
Joyce Workman Scenario 1
,Definition 2 of 22
1-IV fluid challenge/bolus
-Wound Cultures
-IV Antibiotics
-Blood Cultures
2-Stop the infusion
-Notify the provider after stopping the infusion
3-Notify the physician that the patient may be suffering from alcohol withdrawal.
-Check her blood glucose
4-Notify anesthesia to come to the floor to evaluate the patient.
-Wait until anesthesia evaluates the patient and have them assist in restarting the IV.
-Have the next of kin sign the operative consent if available.
5-Use therapeutic communication to convey empathy
-Notify HCP and nursing supervisor
-Tell the patient that dressing must be changed
Mary Barkley Scenario 1
Joyce Workman Scenario 1
Wight Goodman Room 302
Linda Pittmon Scenario 1
,Definition 3 of 22
Comfort
Fluid & electrolytes
Functional ability
Nutrition
Thermoregulation
1-Obtain a new IV site
-Draw Labs early
-Administer pain medication and call provider for a fentanyl or hydromorphone hydrochloride
prescription.
2-Insert the indwelling urinary catheter
-Administer the hydromorphone hydrochloride
-Change to 0.9% sodium chloride for the fluid resuscitation
3-Contact the provider and document the patient respiratory status.
-Reassess the burn area to recalculate the fluid resuscitation.
-Provide PRN pain medications indicated.
-Position the patient in high Fowlers if tolerated.
4-Remove the dressings reassess the burns.
-Reapply Silvadene and sterile dressings.
-Draw labs and watch for signs of hypokalemia and hyponatremia
-Make sure the room temp is 84.0 F/29.0 C
5-Call the night shift nurse that just left to ask if they had emptied the indwelling urinary
catheter bag prior to report
-Request a volutrol/metered indwelling urinary catheter bag when they return form the OR.
-Ensure the patient is Typed and crossed and blood is available.
Dotty Hamilton Room 303
Karen Cole Room 304
Don Johnson Room 302
Joyce Workman Scenario 1
, Definition 4 of 22
Coping
Interpersonal Violence
Mobility
Safety
Gas exchange
Infection
Metabolism
Perfusion
1-Patient's concern about going home and finding a job
-Pain assessment
2-Patient's vital sign
-Color/size of bruises on the patient's face and right forearm
-Recent medication dose
-The patient's restlessness and changes in BP and pulse
3-Nursing concern/diagnosis of patient safety related to domestic abuse
-Nursing concern/diagnosis of acute anxiety
4-Contact social services
-Provide therapeutic communication and emotional support to the patient
-Reassess patients pain every time PRN medication is due
Ann Rails Room 301
Jody Rush Room 304
Karen Cole Room 304
Don Johnson Room 302
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