RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TEST BANK COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

Your inserting a urinary catheter into a male patient. As you
inflate a balloon, the patient complains of discomfort what is
the best action? - ...ANSWER...Aspirate the fluid, advance the
catheter farther, then re-inflate the balloon
When assessing a patient, you notice crepitus on the right
upper shoulder. You notify the physician and anticipate which
diagnosis? - ...ANSWER...Subcutaneous emphysema
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? -
...ANSWER...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? - ...ANSWER...Ask the patient when
his last drink of alcohol was.
You are providing patient education to a patient prior to
administering IV Protonix.... When there is no history of GERD -
...ANSWER...Protonix is given as G.I. prophylaxis to prevent
stress ulcers
The patient has a morphine PCA post operatively. On rounding
you notice respirations at eight per minute O2 saturation of
82%. What medication would be given in the situation? -
...ANSWER...Narcan
Your patient is 4 hours post open appendectomy and has not
voided yet. You note his lower abdomen is distended. What
should you do NEXT? - ...ANSWER...Perform a bladder scan
A patient with peritonitis presents with tachycardia,
hypotension, and dehydration. What other assessment finding
would you anticipate as part of your physical assessment? -
...ANSWER...Severe abdominal pain or rebound tenderness
What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? - ...ANSWER...Level of consciousness
In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: -
...ANSWER...Paresthesia and paralysis
You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient
to exhibit? - ...ANSWER...Left sided weakness of the leg, arm,
and face.
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? - ...ANSWER...Hold digoxin
(Lanoxin) and call the provider
You were caring for a patient who is 18 hours postop after a
right BKA a. They report sudden chest pain pulse ox at 86%.
The patient may be experiencing: - ...ANSWER...Pulmonary
embolism
Cardiac strip - ...ANSWER...Unable to determine
At 0500, you know your patient to be diaphoretic, clammy, and
their hands are shaking. The patient's blood sugar is currently
60. Which of the following is the most appropriate intervention
- ...ANSWER...Have the patient drink 120 ML's of orange juice
- ...ANSWER...Ventricular tachycardia
- ...ANSWER...Normal sinus rhythm
Which of the following food items would you question in the
menu of your patient who is diagnosed with celiac disease? -
...ANSWER...Wheat bread
A postoperative laparoscopic appendectomy patient is
receiving morphine PCA for pain findings with alert you to the
potential of a narcotic overdose? - ...ANSWER...A respiratory
rate of 8 breaths per minute
- ...ANSWER...Paced rhythm
Your patient was admitted with severe dehydration. Which of
the following orders would you question - ...ANSWER...KCI 40
mEq IV push STAT
What is the first sign of increased intracranial pressure? -
...ANSWER...Change in LOC