A 90 year old patient with hypermagnesemia is seen in the emergency department to which inpatient unit with the emergency department nurse expect to admit this patient - ️️Telemetry or cardiac step down
A hypertensive patient was brought to the emergency department with a heart rate of 115 bpm...
EAQ Mid Final Sem Review Questions
A 90 year old patient with hypermagnesemia is seen in the emergency department to which inpatient
unit with the emergency department nurse expect to admit this patient - ✔ ✔ Telemetry or cardiac
step down
A hypertensive patient was brought to the emergency department with a heart rate of 115 bpm and an
abnormal ECG showing a short QT interval. The lab findings shows serum calcium level of 11. Which
nursing intervention would help stabilize the patient. - ✔ ✔ Administering high ceiling or loop
diuretics. And administering 0.9% normal saline IV
A patient is admitted with hypokalemia in skeletal muscle weakness which assessment with the nurse
perform first - ✔ ✔ Respirations
A patient is being discharged from the hospital before completely resolving the problem of fluid
overload. Which information would the nurse recommend be monitored by the caregiver to avoid the
recurrence of fluid overload? - ✔ ✔ Fluid intake, sodium intake, and weight
A patient is brought to the emergency department with diarrhea chest discomfort in paresthesia. The
patient has a heart rate of 60 bpm. The ECG of the patient shows missed P waves, tall T waves,
prolonged PR intervals in wide QRS complexes which laboratory finding would be consistent with the
patient's condition - ✔ ✔ Serum potassium level above 5.0 mEq/L
A patient receiving insulin and glucose infusion therapy for hyperkalemia now has a serum potassium
level of 3.6 mEq/L. Which action would the nurse take? - ✔ ✔ Assess the patient's heart rate rhythm
and respiratory status
A patient receiving IV therapy reports, tingling and numbness of the peripheral insertion site. Which
complication with the nurse suspect - ✔ ✔ Nerve damage
A patient receiving IV therapy through essential catheter has developed a swollen extremity in engorged
peripheral veins of the ipsilateral chest. Which complication with the nurse suspect. - ✔ ✔
Thrombosis
A patient who is receiving IV fluid replacement therapy has a bounding pulse, difficulty breathing, and
distended neck veins in the upright position. Which intervention with the nurse plan for the patient. - ✔
✔ Administering diuretic drug therapy
A patient with central vascular access device reports on usual shoulder pain during an infusion. Which
action would the nurse take? - ✔ ✔ Obtain a providers order for a repeat chest x-ray
A patient with central venous catheter reports back pain between the shoulder blades. Which action
would the nurse take first - ✔ ✔ Discontinue all infusions and flush the catheter
, A patient with diabetes mellitus, who is prescribe diuretic medication is diagnosed as having mild
dehydration. Which action would the nurse take? - ✔ ✔ Encourage the patient to consume small
amounts of sugar free fluids hourly
A patient with paraplegia who is undergoing rehabilitation is prescribed IV antibiotics for six weeks three
peripherally, inserted, central catheter in the left arm. Which complication with the nurse anticipate. -
✔ ✔ Catheter dislodgment
A patient's lab results show, decreased hemoglobin, hematocrit, and serum protein levels leading to a
diagnosis of fluid overload. Which other changes will support the diagnosis. - ✔ ✔ Bilateral pitting
edema on the ankles and feet
A seven year old woman is admitted to the hospital with congestive heart failure. Her medication's word
for furosemide, digoxin, and an angiotensin converting enzyme inhibitor. Several hours of receiving IV
furosemide, the patient's potassium level is 2.2. Which problem with the nurse anticipate for this
patient - ✔ ✔ Digoxin toxicity
After the registered nurse receives the change of shift report, which patient with the RN assess first - ✔
✔ 46 year old receiving IV diuretics his blood pressure is 95/52 mmHg
An older adult is brought into the emergency department with persistent vomiting and diarrhea. The
caregiver states that the patient has lost 4 pounds since the symptoms began. Approximately how much
fluid has the patient lost? - ✔ ✔ 2 L
An older adult, patient presents to the emergency department with confusion, altered level of
consciousness, dry mouth, and scaly skin. Which, finding in the patient's history would be significant. -
✔ ✔ Decreased intake of liquids and gelatin
Based on the following available patient data, which prescription with the nurse clarify with the provider
- ✔ ✔ No activity restrictions/ambulate ad lib
Flushing a patient central line with normal saline, the nurse feels resistance. Which action would the
nurse take? - ✔ ✔ Stop flushing and try to aspirate blood from the line
How often would the nurse routinely change the guys dressing on a patient's midline catheter site? - ✔
✔ 48 hours
Patient with mild hypokalemia caused by diarrhetic use is discharged home which intervention with the
registered nurse, delegate to the home health aide - ✔ ✔ Measurement of the patient's urine output
Regarding flushing the peripheral IV catheter to maintain patency of the lumens, which statement
requires correction - ✔ ✔ I will stop the flushing procedure if the catheter lumen yields a blood
return
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