Study Group Question - Do you think you know it? - page 30

I was having this discussion with a friend, but we later agree to to these. Hope this will benefit all nurses student still in school or awaiting to take NCLEX. Is more or less like a study... Read More

  1. by   belle923
    a pt c/o to the nurse that the iv insertion site is painful and the nurse inspect the site and found out there is erythema, edema. what should be the initial action
    1- apply warm soak compresses
    2- elevate the extremity on the pillow
    3- remove the iv
    4- notify the physician

    what will be the first action for a nurse to preform when a pt is experiencing autonomic dysreflexia
    1- call the physician
    2- elevate the hob
    3- check for bladder retention
    4- give anti-hypertensive medication

    a 3yr old should be able to do which skill
    1- tying shoe lace
    2- copying a circle
    3--identifying 5 body parts
    4- hopping on one foot
  2. by   KAYBDT6
    [quote=belle923;3763286]
    a pt c/o to the nurse that the iv insertion site is painful and the nurse inspect the site and found out there is erythema, edema. what should be the initial action

    1- apply warm soak compresses
    2- elevate the extremity on the pillow
    3- remove the iv
    4- notify the physician

    what will be the first action for a nurse to preform when a pt is experiencing autonomic dysreflexia
    1- call the physician
    2- elevate the hob
    3- check for bladder retention
    4- give anti-hypertensive medication

    a 3yr old should be able to do which skill
    1- tying shoe lace
    2- copying a circle
    3--identifying 5 body parts
    4- hopping on one foot

    you deserve an award from all nurses for your contribution!
  3. by   KAYBDT6
    A nurse is evaluating apt with cerebellar function. In other to assess, the nurse should ask the pt which question
    1- Are you having problem speaking?
    2- Are you having problem swallowing when eating
    3- Are you having problem with balance and coordination
    4- Are you having problem with muscle strength

    A medication order read " Demerol 1mL I.M Stat" The nurse should do what with these order
    1- call the pharmacy to specify exact time to give the drug
    2- call the physician regarding the inappropriate route
    3- clarify the order with the physician
    4- medication is valid and order

    A nurse is caring for a terminally ill hospice pt who has an advance directive on his chart. Which nursing intervention is no longer needed for the pt
    1- monitoring the vital sign
    2- maintaining personal hygiene
    3- caring for elimination
    4- maintaining pain control
  4. by   joycee8
    Quote from KAYBDT6


    SCISSORS IS NEEDED FOR PATIENT WITH ESOPHAGEAL VARICES WHICH HAS SENGSTAKEN- BLAKE MORE TUBE TO DEFLATE THE BALLOON IF BLEEDING OR HAVE DIFFICULTY IN BREATHING.

    KELLY CLAMP , STERILE OCCLUSIVE DRESSING AND RUBBER CAPPED HEMOSTAT SHOULD BE AVAILABLE AT THE BED SIDE OF A PT WITH CHEST TUBE ALL THE TIME.




    ***********************
    What about EXTRA BOTTLE???
    ***********************
  5. by   belle923
    a nurse is evaluating apt with cerebellar function. in other to assess, the nurse should ask the pt which question
    1- are you having problem speaking?
    2- are you having problem swallowing when eating
    3- are you having problem with balance and coordination
    4- are you having problem with muscle strength

    a medication order read " demerol 1ml i.m stat" the nurse should do what with these order
    1- call the pharmacy to specify exact time to give the drug
    2- call the physician regarding the inappropriate route
    3- clarify the order with the physician
    4- medication is valid and order

    a nurse is caring for a terminally ill hospice pt who has an advance directive on his chart. which nursing intervention is no longer needed for the pt
    1- monitoring the vital sign
    2- maintaining personal hygiene
    3- caring for elimination
    4- maintaining pain control
  6. by   KAYBDT6
    [quote=belle923;3763440]
    a nurse is evaluating apt with cerebellar function. in other to assess, the nurse should ask the pt which question

    1- are you having problem speaking?
    2- are you having problem swallowing when eating
    3- are you having problem with balance and coordination
    4- are you having problem with muscle strength

    a medication order read " demerol 1ml i.m stat" the nurse should do what with these order
    1- call the pharmacy to specify exact time to give the drug- time indicated is "stat"
    2- call the physician regarding the inappropriate route- route is im
    3- clarify the order with the physician
    4- medication is valid and order - demerol comes in various dosage and it should be clarify with the physician. for example 10mg/1ml, 25mg/2ml.

    a nurse is caring for a terminally ill hospice pt who has an advance directive on his chart. which nursing intervention is no longer needed for the pt
    1- monitoring the vital sign
    2- maintaining personal hygiene
    3- caring for elimination
    4- maintaining pain control

  7. by   belle923
    Hey Kay, I miss you around here!! Anymore questions
  8. by   KAYBDT6
    A nurse received an A:M report on the following pts. in which order of priority will the nurse assess them
    1- post-op pt schedule for IVPB antibiotic @ 0080
    2- pt with discharge orders for 1200
    3- pt with a BP 78/32 and pulse 104
    4- post-op pt c/o incisional pain

    A pt void 50mL of urine each time after abdominal surgey. The nurse assessment reveal dullness in the suprapubic region on percussion. what action should the nurse taken at these time?
    1- Notify the physician
    2- Encourage fluids
    3- assist the pt to walk
    4- Insert a foley catheter

    The physician instruct the nurse who s having difficulty in placing a catheter in the bladder of a pt with BPH to use the stylet. The nurse should
    1- perform the procedure
    2- offer to assist the physician in placing the catheter
    3- refuse the suggestion
    4- proceed with the procedure

  9. by   2bNurse4life4ever
    a nurse received an a:m report on the following pts. in which order of priority will the nurse assess them
    1- post-op pt schedule for ivpb antibiotic @ 0080 3rd
    2- pt with discharge orders for 1200 4th
    3- pt with a bp 78/32 and pulse 104 1st
    4- post-op pt c/o incisional pain 2nd

    a pt void 50ml of urine each time after abdominal surgey. the nurse assessment reveal dullness in the suprapubic region on percussion. what action should the nurse taken at these time?
    1- notify the physician
    2- encourage fluids
    3- assist the pt to walk
    4- insert a foley catheter

    the physician instruct the nurse who s having difficulty in placing a catheter in the bladder of a pt with bph to use the stylet. the nurse should
    1- perform the procedure
    2- offer to assist the physician in placing the catheter
    3- refuse the suggestion
    4- proceed with the procedure
  10. by   belle923
    a nurse received an am report on the following pts. in which order of priority will the nurse assess them
    1- post-op pt schedule for ivpb antibiotic @ 0080: 3
    2- pt with discharge orders for 1200: 4
    3- pt with a bp 78/32 and pulse 104: 1
    4- post-op pt c/o incisional pain: 2

    a pt void 50ml of urine each time after abdominal surgey. the nurse assessment reveal dullness in the suprapubic region on percussion. what action should the nurse taken at these time?
    1- notify the physician
    2- encourage fluids
    3- assist the pt to walk
    4- insert a foley catheter

    the physician instruct the nurse who s having difficulty in placing a catheter in the bladder of a pt with bph to use the stylet. the nurse should
    1- perform the procedure
    2- offer to assist the physician in placing the catheter
    3- refuse the suggestion
    4- proceed with the procedure
  11. by   KAYBDT6
    [quote=2bnurse4life4ever;3779509]
    a nurse received an a:m report on the following pts. in which order of priority will the nurse assess them
    1- post-op pt schedule for ivpb antibiotic @ 0080 3rd
    2- pt with discharge orders for 1200 4th
    3- pt with a bp 78/32 and pulse 104 1st
    4- post-op pt c/o incisional pain 2nd

    a pt void 50ml of urine each time after abdominal surgey. the nurse assessment reveal dullness in the suprapubic region on percussion. what action should the nurse taken at these time?
    1- notify the physician "pt void 50ml every time" the only reason the nurse will notify the physician is when the pt is not voiding
    2- encourage fluids
    3- assist the pt to walk---- sorry an incomplete answer. "assist the pt to the bathroom because the pt symptoms indicate urinary retention.
    4- insert a foley catheter

    the physician instruct the nurse who s having difficulty in placing a catheter in the bladder of a pt with bph to use the stylet. the nurse should
    1- perform the procedure
    2- offer to assist the physician in placing the catheter
    3- refuse the suggestion
    4- proceed with the procedure

  12. by   KAYBDT6
    [quote=belle923;3779690]
    a nurse received an am report on the following pts. in which order of priority will the nurse assess them
    1- post-op pt schedule for ivpb antibiotic @ 0080: 3
    2- pt with discharge orders for 1200: 4
    3- pt with a bp 78/32 and pulse 104: 1
    4- post-op pt c/o incisional pain: 2

    a pt void 50ml of urine each time after abdominal surgey. the nurse assessment reveal dullness in the suprapubic region on percussion. what action should the nurse taken at these time?
    1- notify the physician
    2- encourage fluids
    3- assist the pt to walk
    4- insert a foley catheter unless the pt is not voiding then you'll notify the physician for catheterization order

    the physician instruct the nurse who s having difficulty in placing a catheter in the bladder of a pt with bph to use the stylet. the nurse should
    1- perform the procedure
    2- offer to assist the physician in placing the catheter using a stylet to insert a catheter is not w/i the scope of nursing practice.
    3- refuse the suggestion
    4- proceed with the procedure


  13. by   NewAggieGrad09
    What is the answer to the 2nd question? My guess is to get them up to ambulate...idk lol

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