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Exam (elaborations)

FUNDAMENTALS SWIFT RIVER QUESTIONS AND ANSWERS

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  • Swift River
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  • Swift River

FUNDAMENTALS SWIFT RIVER QUESTIONS AND ANSWERS

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  • September 23, 2024
  • 54
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Swift River
  • Swift River
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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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