Medical-Surgical RN A Prophecy Relias
Exam With 100% Verified Solutions |
Updated & Verified | 2024
To reduce the risk of infection and phlebitis in an adult patient with a peripheral IV, what is the
MINIMUM duration the catheter should remain in place before ROUTINE replacement? - ✔✔72 hours
You are caring for a patient post lobectomy with a chest tube in place for drainage. What is a priority
in care for this patient? - ✔✔Encourage the patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated for? - ✔✔Adults aged 65
years and older
Your patient with stave IV terminal lung cancer continues to experience increasing pain as each day
passes. What would you anticipate the provider ordering for this patient? - ✔✔Palliative care consult
The provider gives you a telephone order to explain a surgical procedure to your patient and obtain
surgical consent. How should you respond? - ✔✔Inform the provider that explaining the procedure
is outside the nurse's scope of practice.
The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her
morning yogurt. How should you respond? - ✔✔"Sorry, it is a slow-release medication that cannot
be opened or crushed."
, Your 72-year-old male patient is admitted for colon cancer related complications and has a history of
CHF, stroke, and a recent knee replacement. Based on your patient's risk assessment, you determine
he is at risk for venous thromboembolism (VTE). What is an appropriate VTE prophylaxis order for this
patient? - ✔✔Enoxaparin (Lovenox) once daily and intermittent pneumatic compressions (IPC)
You receive a provider's order that is not consistent with evidence-based practice. What is your FIRST
step? - ✔✔Clarify the order with the provider.
When would sucralfate (Carafate) 4 times daily be scheduled for? - ✔✔1 hour before meals and
at bedtime
Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18. What blood
product do you expect to administer? - ✔✔PRBCs
Your 68-year-old patient is a Type 1 diabetic with a history of schizophrenia and exhibits signs and
symptoms of tardive dyskinesia. What long-term medication is associated with signs and symptoms of
tardive dyskinesia? - ✔✔risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone,
lurasidone, chlorpromazine, fluphenazine, haloperidol, perphenazine
Your 80-year-old patient is being discharged home post CVA. She lives alone, yet still requires assistance
with ADLs. What referral is MOST appropriate to ensure her needs are met? - ✔✔Case Manager
Central Telemetry calls and tells you your patient is experiencing bradycardia. What is the first thing you
should do after entering the room? - ✔✔Assess the patient and take vital signs.
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