Questions and Answers
What should the nurse do first for a newly diabetic patient?
Which statement made by a post hysterectomy patient about incontinence indicates that further teaching is needed?
What is the best response by the nurse for a patient with terminal cancer who states he is short of breath?
Which phone message should the nurse respond to first?
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What is the most appropriate action for a 75-year-old patient having difficulty sleeping?
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What should the physician order for a patient after a thyroidectomy who is diaphoretic and confused?
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What is the most appropriate response for a patient reporting extreme fatigue and hair loss?
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Which individual is most likely to suffer from a cerebrovascular accident?
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What is the early complication to monitor for a patient with a new tracheostomy?
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What action will decrease a patient's shortness of breath during an asthma attack?
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What response should the nurse give to a patient not wanting anyone to see her after gastric cancer surgery?
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In a patient with a tricuspid valve disorder, where is blood flow impaired?
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If the Purkinje system is damaged, which part of the heart is affected?
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What does the P-wave on an EKG represent?
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What test should the nurse expect besides blood cultures for a patient with suspected infectious endocarditis?
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Which of the following is a sign of poor perfusion?
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Study Notes
Patient Education and Assessment
- Effective patient education begins with assessing their existing knowledge, as highlighted in the diabetic patient scenario where the nurse should first ask about their understanding of diabetes.
- Incontinence education for post-hysterectomy patients emphasizes the importance of proper fluid intake rather than only drinking during meals.
Cancer Care
- In assessing a terminal cancer patient experiencing multiple symptoms, the focus should be on providing immediate support techniques, such as relaxation, rather than solely adjusting medication.
Prioritization of Patient Concerns
- When receiving multiple patient messages, prioritize unexpected symptoms, such as sudden difficulty talking post-surgery, over expected symptoms or complaints not presenting as emergencies.
Sleep Disorders
- Assessing a patient's normal sleep patterns is essential before making recommendations to improve sleep, rather than jumping straight to lifestyle changes.
Post-surgical Monitoring
- Following thyroid surgery, clear indicators such as confusion and elevated vital signs suggest potential thyroid storm; the nurse must anticipate specific medication orders like propranolol.
Understanding Fatigue and Symptoms
- Extreme fatigue in older patients combined with symptoms like cold intolerance and hair loss should prompt immediate medical evaluation to rule out serious conditions.
Risk Factors for Stroke
- Individuals with a family history of stroke have a higher risk, indicating the importance of personal medical history in assessment.
Tracheostomy Complications
- Post-tracheostomy, bleeding is the most immediate concern within the first 24 hours, requiring vigilant monitoring.
Emergency Response
- If pulse oximetry indicators a significant drop in oxygen saturation, assess the probe's position first to rule out technical errors before initiating oxygen therapy.
Asthma Management
- During an asthma attack, staying with the patient and encouraging specific breathing techniques like pursed-lip breathing is vital for managing anxiety and promoting effective breathing.
Patient Concerns about Appearance
- When a patient expresses anxiety about their appearance post-surgery, the appropriate nurse response is to explore their feelings, allowing them to express fears in a supportive manner.
Heart Valve Anatomy
- Tricuspid valve disorders specifically impair blood flow between the right atrium and right ventricle, distinct from left-side heart issues involving the mitral valve.
Cardiac Conduction System
- Damage to the Purkinje system impacts the ventricles' ability to contract and eject blood effectively, highlighting its role in rapid electrical impulse conduction.
EKG Interpretation
- The P-wave on an EKG reflects atrial depolarization, while other stages of cardiac activity are defined through distinct wave forms like the QRS complex for ventricular depolarization.
Infectious Endocarditis Evaluation
- In suspected cases of infectious endocarditis, in addition to blood cultures, performing a transesophageal echocardiogram is crucial for assessing cardiac structure and function.
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Description
Test your knowledge with these practice questions designed for Med-Surg certification. This quiz focuses on important nursing actions to take when instructing diabetic patients. Enhance your preparation for certification with relevant scenarios and best practices.
