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Medical Surgical-telemetry RN A Exam Questions with Answers
Typology: Exams
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not speak Spanish and are having difficulty com- municating with your patient. Which of the following resources would be most appropriate to utilize in order to obtain consent?: The hospitals language interpreter
the following medication should you question?: Acetyl- salicylic acid ( Bauer buffered aspirin)
Lipase and amylase
would indicate an emergency?: Laryngeal strider
: Looking through the chart of a coworker admitted to your unit
cm. He asks you about the procedure what would be the most therapeutic response?: Due to the size of the kidney stone it is an appropriate treatment? NOT:Print reading materials about the subject and give it to the patient
2 / sudden cardiac arrest and family wants CPR initiated. How should you respond?: Honor the patient's wishes
Correct answer is ventricular fibrillation
drawn and the results are pH? HCO3 - 23. These values indicate the patient is experiencing::
complains of discomfort what is the best action?: Aspirate the fluid, advance the catheter farther, then re-inflate the balloon
physician and anticipate which diagnosis?: Subcutaneous em- physema
there is no history of GERD: Protonix is given as G.I. prophylaxis to prevent stress ulcers
per minute O2 saturation of 82%. What medication would be given in the situation?: Narcan
chest pain pulse ox at 86%. The patient may be experienc- ing:: Pulmonary embolism
patient's blood sugar is currently 60. Which of the following is the most appropriate intervention: Have the patient drink 120 ML's of orange juice
4 / my husband" what would be an appropriate response?: Educate the spouse on oxygen use as a medical device in the hospital
for the first time two hours after the orders received. What should be done with this urine sample?: Discarded, then begin the 24 hour collection
Lipase - 196
movement and you know dark tarry stool what would be the diagnosis?: Upper G.I. bleed
patient for a change in condition
Heart rate
protocol
pulse, cough with bloody sputum, diaphoresis, and syn- cope. The symptoms are indicative of:: Pulmonary embolism? NOT: tuberculosis
Spinach
arriving to work under the influence of alcohol
5 /
Potassium 2.5 mEq/L
saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter: 1520
intervention is:: Protecting the patient's head and extremities from contact with surrounding objects
asystolye, what should be your first action?: Assess the patient Not: start CPR
could have pain in their arm, neck, back or jaw
coworker to sign for the ways that you did not witness- : Refused to sign for the waste
diagnosis what should you instruct the patient to avoid?: - Canned meats
your next step?: Perform a bladder scan
7 / NOT: Call a code blue
shoulder, and tingling in their left hand. Upon assessment you note the left arm is significantly larger than the right arm. The left arm is red and warm to the touch. What do you suspect?: Thrombosis (Blood Clot) Air Embolism NOT: Infiltration
-Ringing, buzzing or other unexplained noise in the ears Other: Pancreatitis Dehydration Electrolyte Imbalance Increased blood glucose Decreased urination Dry mouth Thirst Nausea; vomiting Weakness; Drowsiness; Confusion; muscle pain or cramps; or rapid or pounding heartbeats NOT: Dizziness
being ordered by the provider?: bumetanide (Bumex)
8 / NOT: Spironolactone (Aldactone)
failure, cataracts, arthritis, and anxiety. They are re- ceiving scheduled furosemide (Lasix) and IV antibiotics. What are they at the HIGHEST risk for?: Ototoxicity Lung dryness Hypotension, dehydration, and electrolyte depletion NOT: VTE (DVT/PE)
dialysis in 4 days. When you change the dressing you note the site appears red and edematous. What would you do NEXT?: (1) intravenous antibiotics alone
NOT: Flush the catheters with 10 cc on normal saline
would you include in your patient education?: Take 2 puffs of SYMBICORT in the morning and 2 puffs in the evening Take your SYMBICORT inhaler out of the foil pouch and write the date on the box. If you are using your inhaler for the first time, you need to prime it. TO PRIME YOUR INHALER: Hold it in the upright position as shown Shake your
10 seconds, or for as long as it is comfortable. Before you breathe out (exhale), release your finger from the top of the counter. Keep your inhaler upright and remove it from your mouth. Step 5: Shake your inhaler again for 5 seconds and repeat steps 2 to 4. After using your SYMBICORT inhaler: Put the cover back on Rinse your mouth with water and spit it out Don't swallow the water Reading the actuation counter The actuation counter on top of the inhaler helps to monitor the amount of medication remaining and helps you know when to refill your prescription. The arrow points to the number of inhalations, or puffs remaining. Here's how to read it: After you have primed the inhaler for the first time, the counter will read either 120 or 60, depending on which size was provided to you Each time you release a puff from the inhaler, the counter will count down When the arrow gets close to 20, you will notice the beginning of the yellow zone, indicating that it is time to call for a refill Discard the inhaler when the arrow points to the red zone and reads zero (0), or 3 months after it is taken out of its pouch, whichever comes first Your inhaler may not feel empty and may continue to operate, but you will not get the right amount of medicine if you keep using it How to clean your SYMBICORT inhaler
11 You should clean the white mouthpiece of the SYMBICORT inhaler every 7 days Remove the gray mouthpiece cover by squeezing gently at both sides, then pulling out Use a clean, dry cloth to wipe the inside and outside of the white mouthpiece When you are finished cleaning the mouthpiece, place the cover back over the mouthpiece NOTE: Never put your SYMBICORT inhaler into water. Do not try to take the inhaler apart. NOT: Take one inhalation of Symbicort in the morning and one at night.