Question

DU MJL JU 19 17. You are caring for a patient in skeletal traction. Which intervention can you delegate to an experienced nurse's aide? a. Assist the patient with using the bed pan b. Release the skeletal traction to assess skin integrity C. Evaluate the effectiveness of pain medication d. Assess for pedal pulses and swelling 18. A 65 year-old patient arrives to the ED with complaints of 8/10 pain to the right foot and is diagnosed with acute gout. Which intervention should the nurse to implement first? a. Perform range of motion exercises of both feet b. Administer pain medication as ordered C. Educate the patient to avoid alcohol a n d d. Evaluate medication history S 19. After receiving change of shift report, which patient should the nurse assess first? a. A 54-year-old diagnosed with an exacerbation of lupus, with hematuria, BUN 20 mg/dl and Cr 4.1 mg/dl b. A 30-year-old after a laminectomy who is allergic to penicillin, receiving his first dose of IV vancomycin C. An 88-year-old 2 days post-op after a left hip open reduction internal fixation (ORIF) ambulating with a walker d. A 66 year-old with a fractured right femur, in skeletal traction and complaining of 4/10 pain de 20. The QRS complex on an EKG represents a. atrial depolarization b. atrial repolarization C. ventricular depolarization d. ventricular repolarization 21. A patient's telemetry displays a heart rate of 88, with 4 saw-like waves preceding every QR complex. This cardiac rhythm is best documented as 1 a. atrial fibrillation b. 4:1 atrial flutter c. frequent PACS d. 1st degree AV block 22. A patient has had a rhythm of atrial fibrillation on telemetry for the past 48 hours, rate 92 BP 106/58. The patient denies lightheadedness, or shortness of breath. Which of the following orders would be a priority for the nurse caring for this patient? a. Administer Warfarin PO as ordered b. Perform synchronized cardioversion c. Defibrillate with 300 joules d. Administer Atropine 10 mg IV push o

Answer 1

17. The correct option is A - assist the patient with using the bed pan . Nursing aide help patients with activities of daily living like eating and bathing. Nursing assistants, sometimes called nursing aides, help provide basic care for patients in hospitals and residents of long-term care facilities, such as nursing homes.

18. The correct option is B - administer pain medication as ordered because as per the priority needs of the patient ,he or she is under extreme pain . To relieve that is the first priority or duty for a healthcare provider.

19. The correct option is A because he needs urgent care as his basic kidney levels are above normal range which can cause complications if not treated at correct time.

20. The correct option is C - ventricular depolarization. QRS complex in ECG shows ventricular depolarization .