Study Group Question - Do you think you know it?

a internal disaster is declared in the hospital at 9pm. the charge nurse is asked on the shift to determine which client is a candidate for discharge. which of these clients should the charge nurse determine as a potential for discharge?

1. a middle age with hx of type 2 diabetes admitted yesterday with diabetic keto acidosis

2. a young adult with a hx of asthma since age five admitted few hours ago with exacerbation of asthma

3. an older adult female who is expected to die within the next day or so, and has a dnr order, and the son is at the bedside

4. an adolescent who is newly admitted on the day shift to rule out pancreatitis and who reported to have stopped drinking alcohol two days ago

what is the most objective method by a nurse to establish the correct placement of a nasogastric tube?

1. check the aspirate for the ph

2. inject air while listening for the gastric gurgle

3. verify tube placement by results on x ray

4. measure the residual volume and then re insert the aspirate

which of these statements, made by the client who had a mastectomy two months ago, is incorrect and indicates a need for additional assessment associated with the impact of an alteration in body image.

1. "it really isn't a problem for me, i never had large breasts anyway"

2. "i plan to volunteer to work for others who have had mastectomies in reach for recovery"

3. "i guess its time for me to quit wearing a bikini, at my age, anyway"

4. "i only look at myself in the mirror after i am fully dressed"

the client with a spinal cord injury at c5 is suddenly experiencing profound headache, increased hypertension, and sense of impending doom. what should the nurse's initial action be?

1. check the foley for kinks or for fecal impaction

2. elevate the head of the bed

3. immediately notify the doctor

4. turn on the fan

A nurse received a report from the AM shift. The PM RN reads an an order for Levothyroxine 100mcg PO daily for a pt with Graves disease. which of the following should the nurse do next. SATA

1- consult with the reporting charge nurse

2- Transcribe according to the medication administration chart

3- inform the next shift that the order need to be review

5- notify the physician

6- question the order

A pt is suspected of having duodenal Ulcer, what assessment is expected to be collect from the pt

1- Hx of smoking

2- occult blood in stool

3- Hx of frequent diarrhea

4- vomiting after eating spicy food

A nurse question an order for a pt been prescribe Inderal

1- pt with Type 1 diabetes

2- pt with PUD

3- pt with bronchial asthma

4- pt with Atrial tachycardia

a nurse received a report from the am shift. the pm rn reads an an order for levothyroxine 100mcg po daily for a pt with graves disease. which of the following should the nurse do next. sata

1- consult with the reporting charge nurse

2- transcribe according to the medication administration chart

3- inform the next shift that the order need to be review

5- notify the physician

6- question the order

a pt is suspected of having duodenal ulcer, what assessment is expected to be collect from the pt

1- hx of smoking pud

2- occult blood in stool

3- hx of frequent diarrhea- ulcerative colitis

4- vomiting after eating spicy food

a nurse question an order for a pt been prescribe inderal

1- pt with type 1 diabetes

2- pt with pud

3- pt with bronchial asthma

4- pt with atrial tachycardia

:ancong!:

place in order of priority

1- rinse your hands

2- allow the warm water to wet your hands

3- apply soap to the hands and keep hands pointed downward

4- turn the water faucet off with a clean and dry paper towel

5- turn on the water

6- dry your hands using a paper towel

1- rinse your hands-4:up:

2- allow the warm water to wet your hands-2:up:

3- apply soap to the hands and keep hands pointed downward-3:up:

4- turn the water faucet off with a clean and dry paper towel-6:up:

5- turn on the water-1:up:

6- dry your hands using a paper towel-5

:ancong!:

Arrange in order of priority for contact isolation PPE removal

1- perform handwashing

2- discard the gown

3- remove the gloves

4- unties the gown @ the waist

5- removes the mask and goggle

6- untie the gown @ the neck

Place in order for ABG procedure

1- assess color of the extremity distal to the site

2- release the pressure from the ulnar artery

3- ask the pt to open and close her hand

4- explain the procedure

5- apply pressure over the radial and ulnar artery

i decided to answer the question myself.........

arrange in order of priority for contact isolation ppe removal

1- perform hand washing- f

2- discard the gown- d

3- remove the gloves- b

4- unties the gown @ the waist- a

5- removes the mask and goggle-e

6- untie the gown @ the neck- c

place in order for abg procedure

1- assess color of the extremity distal to the site- e

2- release the pressure from the ulnar artery- d

3- ask the pt to open and close her hand- c

4- explain the procedure- a

5- apply pressure over the radial and ulnar artery- b

:twocents::twocents::twocents::ancong!:

A pt is receiving peritoneal dialysis. The nurse should watch out for which of the following peritoneal dialysis complication

1- hypoglycemia

2- hypertention

3- hypovolemia

4- hypervolemia

A primigravida pt state that her last menstrual period was May 12-16. Using Naegele's rule, what is her EDC?

1- February 23

2- February 19

3- March 3

4- August 15

what is the highest priority for a pt who is experiencing a post-partum hemorrhage

1- high risk for injury

2- altered tissue perfusion

3- high risk for infection

4- ineffective airway clearance