RELIAS RN MEDICAL-SURGICAL PROPHECY GRADED A+

RELIAS RN MEDICAL-SURGICAL PROPHECY GRADED A+

Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having several episodes of acute confusion since being admitted to your unit. What is the MOST important order you should anticipate from the provider?        Stat CT of head

Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling urinary catheter in the last 2 hours. What is your patient MOST likely experiencing.  Sepsis

What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff?       Gown and gloves

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?      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?          Ask the patient when his last drink of alcohol was.

1.2 milligrams is equal to how many micrograms?      1200 mcg

Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function?    Compress the drain, then plug the bulb to establish suction

Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action?       Deflate the balloon, advance the catheter further, then reinflate the balloon

Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an appropriate response?          Respect his wishes and notify the provider

Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient?          broth, jello, soft fruit no skin,

You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you to the post-surgical unit since they are understaffed. Which is the MOST appropriate action?       Report to the post-surgical unit.

What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?     Acid Reduction

Which adaptive equipment would be MOST appropriate to use for a severely contracted patient who is unable to bear weight when transferring from the bed to the chair?   Patient lift (e.g., Hoyer)

Which tool should you use to assess pain in you 80-year-old patient with severe dementia?          PAINAD scale

Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he is extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his coccyx. You were told in report that he lives at home with family members. What should you do?     Notify the charge nurse and social worker of your concerns.

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?  Hold digoxin (Lanoxin) and call the provider

Upon entry to your patient's room, you find her sitting in High Fowler's position and complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode of oxygen delivery would MOST likely reverse these symptoms? Non-rebreather mask

Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room?      Gown and gloves

Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated. What symptoms may indicate intolerance to the feedings?        Vomiting and diarrhea

Upon entering your patient's room, you note that they are having a seizure. What is your FIRST action?        Position the patient on their side to maintain the airway.

Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa. During your assessment you note she has a flat affect and says, "I just want to die. I'm tired of my life." What should be your FIRST intervention?         Stay with the patient and ask fi she has a plan to carry out this wish.

Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to suctioning the patient, what should you do FIRST?    Hyperoxygenate patient.

Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black colored stool today. What do you most likely suspect? Gastrointestinal bleeding

RELIAS RN MEDICAL-SURGICAL PROPHECY GRADED A+

Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having several episodes of acute confusion since being admitted to your unit. What is the MOST important order you should anticipate from the provider?        Stat CT of head

Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling urinary catheter in the last 2 hours. What is your patient MOST likely experiencing.  Sepsis

What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff?       Gown and gloves

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?      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?          Ask the patient when his last drink of alcohol was.

1.2 milligrams is equal to how many micrograms?      1200 mcg

Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function?    Compress the drain, then plug the bulb to establish suction

Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action?       Deflate the balloon, advance the catheter further, then reinflate the balloon

Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an appropriate response?          Respect his wishes and notify the provider

Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient?          broth, jello, soft fruit no skin,

You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you to the post-surgical unit since they are understaffed. Which is the MOST appropriate action?       Report to the post-surgical unit.

What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?     Acid Reduction

Which adaptive equipment would be MOST appropriate to use for a severely contracted patient who is unable to bear weight when transferring from the bed to the chair?   Patient lift (e.g., Hoyer)

Which tool should you use to assess pain in you 80-year-old patient with severe dementia?          PAINAD scale

Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he is extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his coccyx. You were told in report that he lives at home with family members. What should you do?     Notify the charge nurse and social worker of your concerns.

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?  Hold digoxin (Lanoxin) and call the provider

Upon entry to your patient's room, you find her sitting in High Fowler's position and complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode of oxygen delivery would MOST likely reverse these symptoms? Non-rebreather mask

Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room?      Gown and gloves

Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated. What symptoms may indicate intolerance to the feedings?        Vomiting and diarrhea

Upon entering your patient's room, you note that they are having a seizure. What is your FIRST action?        Position the patient on their side to maintain the airway.

Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa. During your assessment you note she has a flat affect and says, "I just want to die. I'm tired of my life." What should be your FIRST intervention?         Stay with the patient and ask fi she has a plan to carry out this wish.

Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to suctioning the patient, what should you do FIRST?    Hyperoxygenate patient.

Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black colored stool today. What do you most likely suspect? Gastrointestinal bleeding