, RELIAS MEDICAL SURGICAL TELEMETRY TEST BANK
COMPLETE 180+QUESTIONS AND CORRECT ANSWERS
Your inserting a urinary catheter into a male patient. As you inflate a balloon,
the patient complains of discomfort what is the best action? -
...ANSWER...Aspirate the fluid, advance the catheter farther, then re-inflate
the balloon
When assessing a patient, you notice crepitus on the right upper shoulder.
You notify the physician and anticipate which diagnosis? -
...ANSWER...Subcutaneous emphysema
Your patient continues to pull at their IV site located in their left forearm
despite verbal reminders and increased observation. The nursing assistant
recommends using soft mitt restraints on the patient. What is your
recommendation? -
...ANSWER...Request an order for soft mitts as they are the least restrictive
Your patient was admitted for a hypertensive crisis and has a history of HTN,
Parkinson's disease, depression, and alcohol use. On his second hospitalized
day, you notice he is more anxious and restless than his baseline. What would
be your FIRST nursing intervention? - ...ANSWER...Ask the patient whenhis
last drink of alcohol was.
You are providing patient education to a patient prior to administering IV
Protonix.... When there is no history of GERD -
, ...ANSWER...Protonix is given as G.I. prophylaxis to prevent stress ulcers
The patient has a morphine PCA post operatively. On rounding you notice
respirations at eight per minute O2 saturation of 82%. What medication
would be given in the situation? -
...ANSWER...Narcan
Your patient is 4 hours post open appendectomy and has not voided yet.
You note his lower abdomen is distended. What should you do NEXT? -
...ANSWER...Perform a bladder scan
A patient with peritonitis presents with tachycardia, hypotension, and
dehydration. What other assessment finding would you anticipate as part of
your physical assessment? -
...ANSWER...Severe abdominal pain or rebound tenderness
What is the EARLIEST sign indicating increased intracranial pressure (ICP)? -
...ANSWER...Level of consciousness
In addition to pain, pallor, and pulselessness, a neurovascular assessment
also includes checking for: -
...ANSWER...Paresthesia and paralysis
You received a report on a patient that sustained a right hemisphere CVA 48
hours ago. What do you expect the patient to exhibit? - ...ANSWER...Left
sided weakness of the leg, arm, and face.
You are ordered to give digoxin (Lanoxin). Your patients vital signs are: BP
130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What should
you do NEXT? - ...ANSWER...Hold digoxin (Lanoxin) and call the provider
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