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The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
- A. Notify the operating suite that the medication has been given.
- B. Instruct the patient to call for help to go to the restroom.
- C. Waste any unused medication according to policy.
- D. Ask the patient to sign the consent for surgery.
Correct Answer: B
Rationale: The correct answer is B because after administering preoperative medication, the nurse's priority is to ensure the patient's safety and well-being. Instructing the patient to call for help to go to the restroom is important to prevent any accidents or falls due to the medication's effects.
A: Notifying the operating suite is not the immediate priority after administering medication.
C: Wasting unused medication is important but can be done after ensuring patient safety.
D: Asking the patient to sign the consent for surgery is important but should not be the immediate next step after medication administration.
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For a nursing assistant pressure injury care includes
- A. Restricting fluids
- B. Using moisturizers on open skin
- C. Changing position every four hours
- D. Keeping skin dry
Correct Answer: D
Rationale: The correct answer is D because keeping the skin dry helps prevent pressure injuries by reducing moisture-related skin breakdown. Moisturizing open skin (B) can worsen the condition. Restricting fluids (A) is not recommended as hydration is essential. Changing position every four hours (C) is important but not the primary focus for pressure injury care.
The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
- A. Notify the operating suite that the medication has been given.
- B. Instruct the patient to call for help to go to the restroom.
- C. Waste any unused medication according to policy.
- D. Ask the patient to sign the consent for surgery.
Correct Answer: B
Rationale: The correct answer is B because the nurse's priority post-administration of preoperative medication is to ensure patient safety. Instructing the patient to call for help to go to the restroom is important to prevent falls or other adverse events due to the medication's effects.
A: Notifying the operating suite is not the immediate next step after medication administration.
C: Wasting unused medication is important but not the immediate priority post-administration.
D: Asking the patient to sign the consent for surgery can wait until the patient is stable and oriented.
Both the _____ and _____ pulses are used in taking blood pressure.
- A. Radial and apical
- B. Apical and brachial
- C. Radial and brachial
- D. Brachial and femoral
Correct Answer: C
Rationale: The correct answer is C: Radial and brachial. Radial pulse is commonly used for a quick assessment of blood pressure, while brachial pulse is used with a blood pressure cuff for accurate measurement. Radial and apical pulses do not directly relate to blood pressure. Apical and brachial pulses are not typically used together for blood pressure measurement. Brachial and femoral pulses are not commonly used for taking blood pressure in clinical practice.
You are on-scene with a 55-year-old cardiac history patient who suddenly collapsed during dinner with his family. He is found to be pulseless and apneic with his family performing adequate CPR on arrival. His wife is distraught and hands you a legal DNR order signed by his physician. She states that he does not have a terminal illness and begs you to ignore the legal order and 'do everything in your capabilities to save him!' Which of the following would be most appropriate in this situation?
- A. Contact medical control, and open his airway while awaiting approval for resuscitation before initiating full resuscitation efforts
- B. Take over CPR until you reach the ambulance, then stop all resuscitation efforts as per the legal order
- C. Advise the family to stop CPR, and explain they cannot override the legal DNR order
- D. Initiate full resuscitation efforts including advanced cardiac life support, and contact medical control
Correct Answer: D
Rationale: The correct answer is D: Initiate full resuscitation efforts including advanced cardiac life support, and contact medical control. In this scenario, the patient is found to be pulseless and apneic with CPR being performed by the family. The legal DNR order is not applicable in this situation as the patient does not have a terminal illness. Therefore, it is crucial to prioritize the patient's immediate need for resuscitation. Initiating full resuscitation efforts, including advanced cardiac life support, is necessary to maximize the chances of survival. Contacting medical control will ensure proper guidance and support during the resuscitation process.
Choices A, B, and C are incorrect:
A: Contacting medical control and waiting for approval before initiating full resuscitation could delay life-saving interventions.
B: Stopping all resuscitation efforts based on the legal DNR order without considering the patient's current condition would be inappropriate.
C: Advising the family to stop CPR and explaining the legal D
Which is the common IV additive that can only be added to IV solutions but not pushed directly intravenously?
- A. Metronidazole
- B. Vitamin C
- C. Potassium chloride
- D. Sodium chloride
Correct Answer: C
Rationale: Potassium chloride must be diluted in IV solutions to prevent cardiac complications and should never be pushed directly.