2023-2024 RN Medical Surgical Nursing A Prophecy Relias Test With Answers (100 Solved Questions)

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RN MEDICAL-SURGICALA PROPHECYRELIAS TEST2023-2024 WITHVERIFIED ANSWERS GRADED A+What type ofpersonal protective equipment (PPE) is appliedprior to entering a room for a patient with C. diff?-Gown andglovesYour patient continues to pull at their IV site located in theirleft forearm despite verbal reminders and increasedobservation. The nursing assistant recommends using softmitt restraints on the patient. What is yourrecommendation?-Request an order for soft mitts as theyare the least restrictiveYour patient was admitted for a hypertensive crisis and hasa history of HTN, Parkinson's disease, depression, andalcohol use. On his second hospitalized day, you notice he ismore anxious and restless than his baseline. What would beyour FIRST nursing intervention?-Ask the patient when hislast drink of alcohol was.What is the BEST indication of an acute neurologicalproblem?-Change in level of consciousnessWhile in a supine position your patient states, "I'm tired andcannot catch my breath." Physical assessment revealsjugular vein distention and a third heart sound (S3). Thesesymptoms are indicative of what condition?-Heart failureYour new admission presents with a cough, unintentionalweight loss, frequent night sweats, and bloody sputum. What

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type of isolation precautions should you initiate, if any?-Airborne precautionsPatients with diabetes are at high risk for complicationsfrom damage to what body areas?-Nerve and kidneydamageIf your patient with a known history of diabetes is displayingsymptoms of diaphoresis, cool skin, lethargy, and shakiness.What is your first action?-Check the patient's blood glucoselevel.Your patient tells you, "I hope I don't die, but if I do I don'twant to be brought back.? You notice on her chart and wristband that she is a full code. What would be the MOSTappropriate action?-Discuss code status with the patientand follow up with provider to ensure the medical recordreflects her wishes.Your coworker posted photos on social media from abirthday party they had for her in the unit breakroom. Whatshould be your NEXT course of action?-No action isnecessary because no PHI was displayed.Your new patient understands very limited English. Howshould you communicate with them when completing theadmission assessment?-Use the organization's interpreterservices.You are caring for a patient with a history of diabetesmellitus. You walk into the room and find the patient

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lethargic and diaphoretic. What is your first action?-Obtaincapillary blood glucose level.1.2 milligrams is equal to how many micrograms?-1200mcgYour post-op patient has a Jackson-Pratt (JP) drain in place.How do you ensure effective drain function?-Compress thedrain, thenplug the bulb to establish suctionYour male patient complains of discomfort while inflatingthe balloon during insertion of an indwelling urinarycatheter. What would be the MOST appropriate action?-Deflate the balloon, advance the catheter further, thenreinflate the balloonYour patient has symptomatic anemia but is refusing a bloodtransfusion for religious reason. What is an appropriateresponse?-Respect his wishes and notify the providerYour patient is admitted with diverticulitis. What type of dietdo you expect to be ordered for the patient?-broth, jello,soft fruit no skin,You were hired to work the medical unit and when you arriveat work the charge nurse has assigned you to the post-surgical unit since they are understaffed. Which is the MOSTappropriate action?-Report to the post-surgical unit.What is a proton pump inhibitor, such as pantoprazole(Protonix) used for?-Acid Reduction

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Which adaptive equipment would be MOST appropriate touse for a severely contracted patient who isunable to bearweight when transferring from the bed to the chair?-Patientlift (e.g., Hoyer)Which tool should you use to assess pain in you 80-year-oldpatient with severe dementia?-PAINAD scaleYour patient is admitted from the ED with failure tothriveand advanced dementia. You note he is extremelyunderweight, appears unbathed for some time, and has astage 4 pressure injury to his coccyx. You were told inreport that he lives at home with family members. Whatshould you do?-Notify the chargenurse and social workerof your concerns.Your 85-year-old patient with atrial fibrillation fell at home 3days ago. You notice she has been having several episodesof acute confusion since being admitted to your unit. What isthe MOST important order you should anticipate from theprovider?-Stat CT of headYour patient has a temp of 102.3 F, HR 122, and has had 15mL of urine from the indwelling urinary catheter in the last 2hours. What is your patient MOST likely experiencing.-SepsisYour patient is 4 hours post open appendectomy and has notvoided yet. You note his lower abdomen is distended. Whatshould you do NEXT?-Perform a bladder scan
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