Questions and Answers
Which resource would be most appropriate to obtain informed consent for a Spanish-speaking patient scheduled for surgery?
Which medication should you question for a patient diagnosed with a gastric ulcer?
Which lab values should be reviewed for a patient with pancreatitis?
Lipase and amylase
What assessment finding would indicate an emergency for a postoperative parathyroidectomy patient?
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Which action would be considered a violation of HIPAA?
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What is the definition of sinus tachycardia?
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What would be the most therapeutic response to a patient with a 1.5 cm kidney stone asking about the procedure?
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How should a nurse respond when a patient with a DNR has a sudden cardiac arrest?
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What is the correct answer for a patient with not normal sinus rhythm into a flutter?
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What do the ABG results with pH and HCO3 indicate?
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What is the best action if a patient complains of discomfort while a urinary catheter balloon is inflated?
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What diagnosis should a nurse anticipate when observing crepitus on the right upper shoulder?
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Why is Protonix administered without a history of GERD?
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What is the condition indicated by a morphine PCA patient with respirations at eight per minute and an O2 saturation of 82%?
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What should be done with a urine sample voided two hours after the start of a 24-hour urine collection order?
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Which lab value would you expect to see in a patient diagnosed with pancreatitis?
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What does dark, tarry stool indicate in a patient with abdominal pain?
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What is an important consideration for a patient with COPD who is wheezing and short of breath?
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What vital information is required before administering digoxin?
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What should be suspected for a patient with symptoms indicative of a pulmonary embolism?
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Which food item should a patient on warfarin avoid?
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Which electrolyte value should be addressed immediately by the nurse?
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Which medication may cause urine discoloration?
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What diuretic would likely be ordered for a patient with a potassium level of 5.8?
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What should be done for a patient with a hemodialysis catheter site appearing red and edematous?
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What is an appropriate dietary education for a patient being discharged with certain dietary restrictions?
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What is the first action when finding a patient in asystole?
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What should the nurse instruct the patient about their inhaler medication?
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Study Notes
Informed Consent
- Utilize hospital language interpreters for obtaining informed consent from non-English speaking patients.
Medication Review
- Question the administration of Acetylsalicylic acid for gastric ulcer patients due to potential harm.
Lab Values in Pancreatitis
- Monitor lipase and amylase levels for patients with pancreatitis as they indicate the condition.
Postoperative Assessment
- Laryngeal stridor in parathyroidectomy patients signals an emergency requiring immediate attention.
HIPAA Violations
- Accessing a coworker’s chart without consent infringes on HIPAA regulations.
Cardiac Rhythms
- Sinus tachycardia characterized by elevated heart rate, while an abnormal rhythm indicates possible ventricular fibrillation.
Kidney Stones
- Patients should be informed appropriately about treatment options for kidney stones, considering size and potential intervention needs.
DNR Protocol
- Respect the wishes of terminally ill patients regarding Do Not Resuscitate (DNR) orders in the event of cardiac arrest.
Blood Gas Analysis
- Interpreting ABG results can indicate metabolic imbalances; pH levels and bicarbonate values must be assessed.
Catheter Insertion
- If discomfort occurs during urinary catheter insertion, aspirate, advance the catheter slightly, and re-inflate the balloon.
Crepitus Assessment
- Crepitus over the shoulder may suggest subcutaneous emphysema, indicating possible underlying issues.
Protonix Administration
- Use Protonix for GI prophylaxis rather than treating GERD in the absence of a history.
Pain Management
- Administer Narcan for opioid overdose signs, indicative by decreased respiratory rates and low oxygen saturation.
Postoperative Complications
- Pulmonary embolism is a risk for postoperative patients presenting with sudden chest pain and low oxygen saturation.
Diabetes Management
- Instruct patients with hypoglycemia to consume fast-acting carbohydrates such as orange juice.
Celiac Disease Diet
- Advise patients with celiac disease to avoid gluten-containing foods, including wheat bread.
Urine Collection Protocol
- Discard the initial urine sample to initiate a 24-hour urine collection for accurate results.
Cardiac Monitoring
- Continuous monitoring and correct lead placement are essential in determining rhythms and responding to alarms.
Myocardial Infarction Symptoms
- Women may experience atypical symptoms such as arm, neck, or jaw pain during a myocardial infarction.
Patient Education on Inhalers
- Proper use and maintenance of inhalers like Symbicort require patient education on dosing, priming, and cleaning.
Infection Control
- Implement stringent hand hygiene practices, particularly when dealing with infections like C. difficile.
Emergency Protocols
- Ensure rapid response intervention in acute cases of hypotension, bradycardia, or suspected thrombosis related to vascular access devices.
Ototoxicity Awareness
- Monitor for signs of ototoxicity related to medications like furosemide; use caution during administration to avoid rapid infusion rates.
Dietary Restrictions
- Patients taking anticoagulants like Warfarin should avoid foods high in vitamin K, such as spinach.
Response to Alarms
- First step when responding to cardiac monitor alarms should be checking patient status instead of initiating emergency codes.
Understanding Heart Failure
- Patients with left-sided heart failure often exhibit pulmonary edema as a significant clinical sign.
Blood Chemistry
- Immediate attention is needed for hypokalemia, particularly potassium levels at 2.5 mEq/L.
NG Tube Monitoring
- Anticipate NG tube placement and related care for postoperative patients with ongoing emesis or significant bowel complications.
Hydration and Rehydration Protocol
- Anticipate rehydration orders along with lab assessments and supportive care for patients presenting with severe dehydration.
Emergency Situations
- In cases of seizures, protect patients from harm and ensure safe surroundings; assess and monitor effectively.
Gastrointestinal Complications
- Dark tarry stools in patients indicate potential upper gastrointestinal bleeding requiring further diagnostic workup.
Medication Compliance
- Educate patients on proper ingestion and adherence to prescribed medications to manage chronic conditions effectively.
Vital Signs Assessment
- Continuous monitoring of vital signs is critical during the initial assessment and subsequent care of all patients.
Increased Intracranial Pressure Signs
- Early indicators of elevated intracranial pressure include changes in level of consciousness that warrant immediate evaluation.
Rapid Response Activation
- Recognize and activate rapid response protocols for patients displaying signs of potential serious complications, such as sudden changes in status after surgical procedures.
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Test your knowledge with these flashcards designed for Medical Surgical-telemetry RN. Each card covers critical scenarios and concepts in patient care and medication management, providing a solid review resource. Perfect for nursing students and professionals preparing for exams.
