PCU / Telemetry Quiz

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1. The goal of treatment for acute glomerulonephritis is to:

2. Gout is disease of the joints by accumulation of what waste product in a person’s joint:

3. A patient who received spinal anesthesia 4 hours ago during surgery is transferred to the surgical unit and after 1.5 hour, now reports severe incisional pain. The BP is 170/90 mmHg, HR 108, T 99F, R 30 bpm. Skin is pale and surgical dressing is dry/intact. What is most appropriate nursing response?

4. To prevent common, adverse effect of prolonged use of Dilantin, patients are instructed to:

5. Most common and preventable complication of abdominal surgery is:

6. 78 yr old patient scheduled for transition to home after treatment for heart disease, patients spouse has COPD and plans to care for patient at home. The spouse says that their adult children will help also. The best approach to discharge planning is:

7. During an assessment of a patient who sustained head injury 24 hours ago, the nurse notes development of slurred speech and disorientation. The nurses should:

8. To prepare a patient for bronchoscopy procedure, the nurses administers IV sedative then instructs the LPN to:

9. Which response is associated with surgery related stress:

10. Which statement by the patient with diabetes indicates an understanding of insulin Lantus?

11. Which is primarily a developmental task of middle age:

12. A nurse is caring for a patient with new diagnosis of cancer, observes patient become angry with provider and nurse. The best approach to diffuse situation:

13. Hospital policy is to assess and record HR before digoxin administration. By auditing the charts to determine the frequency of compliance, the quality assessment and improvement committee is conducting:

14. The nursing diagnosis for myocardial infarction is activity imbalance. The plan of care includes:

15. Nursing department in an acute care setting decides to redesign its practice based on theoretical framework. Feedback from patients, families, and staff reflect that caring is a key element. Which theorist best supports this concept?

16. Which statement demonstrates understanding about herbal supplements:

17. For a patient with Crohn’s disease, the nurse recommends this diet:

18. When examining patient who is paralyzed below T4 level, the nurse expects:

19. After completing a thorough neuro and physical assessment for suspected stroke, the nurse anticipates the next immediate step is:

20. The client with a history of cardiac disease is due for a morning dose of furosemide (Lasix). The nurse reviews the clients record and reports which of the following serum potassium levels before administering the dose of furosemide?

21. Correctly identify the following Telemetry strip:

22. Correctly identify the following Telemetry strip:

23. Correctly identify the following Telemetry strip:

24. Correctly identify the following Telemetry strip:

25. Correctly identify the following Telemetry strip:

26. A patient presents with the following rhythm on the monitor. Which continuous IV drip would you expect the physician to order?

27. A patient has sustained hypotension following a heart cath procedure. Despite fluid, the patient’s urine output remains low. If the physician wishes to keep the patient out of the ICU; what drip may be ordered that can increase this patient’s blood pressure?

28. If a patient is on a heparin drip; how often should PT/PTT levels be drawn when on the drip and their levels are NOT therapeutic.

29. A patient admitted to the hospital for elevated blood pressure. The physician wishes to start them on a continuous IV infusion to control their blood pressure. Which medication do you expect them to start?

30. A patient presents with the following ECG strip. Which medication would the physician likely order by continuous IV infusion?

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