possible ??'s on med/surg ati part 1

RN is caring for a pt experiencing hypertensive crisis. WOTF actions should the RN take?

RN is planning care for a pt who has status epilepticus. WOTF interventions is the nurses priority to include?

A nurse is caring for a client who has bladder cancer and a WBC count of 900. WOTF actions should RN take?

Pt is taking digoxin 0.125 mg PO. RN should monitor WOTF because it can increase the risk for digoxin toxicity?

RN is caring for a pt w/ chronic renal failure. ABG results: pH 7.24, paCO2 44, paO2 84, HCO3 18. O2 sat 95%.

RN is planning care for a client who has upper gastro bleeding due to a peptic ulcer. WOTF actions should RN take?

RN is teaching pt about a TENS unit. WOTF info should RN include?

pt with lower extremity fracture and Rx for crutches. WOTF statements show pt is adapting to their role change?

A nurse is caring for a client who is scheduled for an abdominalparacentesis. RN should plan to take WOTF actions?

WOTF should the RN identify as a risk factor for the development of DVTs?

RN is caring for an older adult client who has dementia.WOTF ?? should RN ask to assessthe client's abstract thinking?

Charge RN is called to pt's room who has a wound evisceration. WOTF should should the charge RN do?

RN is providing d/c teaching to pt with new Dx of AIDS. WOTF pt statements indicate understanding?

A nurse is teaching a client who has diabetes mellitus about foot care. WOTF instructions should the RN include?

A nurse is caring for four pt's. WOTF ps is at risk for developing metabolic alkalosis?

WOTF should the RN instruct pt to withhold for 48 hours prior to CT scan with contrast?

ED RN admits ps with GSW to abdomen. WOTF actions should RN take to prevent onset of acute kidney failure?

A nurse finds a client in bed, unresponsive and breathing. WOTF action should the nurse take first?

A nurse is caring for a client who has a sealed radiation implant.WOTF actions should the nurse take?

A nurse is preparing to administer two units of packed rbc's to a client. WOTF actions should the RN take?

RN is caring for a pt w/ a foley. WOTH actions should RN take when performing intermittent irrigation?

A nurse is assessing a client who has cirrhosis. Which of thefollowing findings is the priority for the nurse to report?

A nurse is caring for a client who has anemia. WOTF should the RN anticipate with the pt's condition?

A nurse is caring for a client admitted with a skull fracture. WOTF findings would be of greatest concern to the RN?

CH-RN is reviewing home care instructions for a pt w/ new Dx of CHF. WOTF is the priority topic for CH-RN to review?

RN is teaching pt w/ endometriosus about adverse effects of Rx leuprolide. WOTF should the RN include?

pt with peritoneal dialysis. WOTF are early indications of peritonitis?

Client has a pressure ulcer. Which indicates wound healing?

RN is caring for a pt who is receiving radiation. pt reports nausea. WOTF considerations should RN include for meals?

RN is caring for a pt who is receiving enteral nutrition. WOTF interventions by the nurse will prevent aspiration?

WOTF should RN include in teaching about pt's self management of GERD?Lie down 30 minutes after each meal

RN is preparing an in-service about the use of automated external defibrillators (AEDs). WOTF should be included?

ED RN is treating pt who received full thickness burns to lower torso 1 hour ago. WOTF findings should RN expect?

ER RN is preparing pt for emergency surgery. Pt's blood alcohol level is 180. WOTF actions is the RN's priority?

RN notes reddened areas over bony prominences. WOTF should RN include in plan of care?

RN is assessing a pt following the insertion of a central venous catheter. WOTF indicates a pneumothorax?

A nurse is caring for a pt who has hypotension, cool &clammy skin, tachy and tachypnea. WOTF positions to put pt in?

WOTF medications places the pt at an increased risk for developing diabetes insipidus?

pt w/ new colostomy is withdrawn and looks away during bag changes. WOTF actions should RN take?

RN is preparing to admin vancomycin IV bolus. WOTF should RN instruct pt to watch for and report?

A nurse on a medical unit is planning care for a group of clients.WOTF clients should the nurse attend to first?

Pt with DM has been following Tx plan for 3 months. WOTF should RN monitor to determine long-term glycemic control?

RN is caring for an older pt who is suspected of having septicemia. WOTF actions is theRN’s priority?

RN on an oncology unit is caring for a client who is receiving internal radiation therapy. WOTF actions?

RN is providing d/c teaching to a patient with a PICC line in left arm. WOTF instructions should RN include?

A nurse is planning a staff education session about Hep. A. WOTF should the nurse include?

RN admin furosemide 80 mg PO BID to a pt w/ pulmonary edema. WOTF indicates that medication is effective?

pt who is in septic shock. Which lab findings indicate the patient is developing “multiple organ dysfunction syndrome”?

RN is providing ed about foods that affect INR. WOTF foods interact with warfarin?

Pt to have left-sided cardiac cath. WOTF info should RN teach to pt?

pt VS: T 98.3, HR 100/min, RR 20/min, BP 152/93. RN should expect WOTF Rx for this patient?

ED RN is assessing pt with DKA. WOTF should the RN expect? SATA

WOTF choices should the RN recommend as containing the least potassium?

pt who has chronis lymphocytic leukemia. RN notes petechiae on skin. WOTF actions should RN take?

RN teaching pt about a metered-dose inhaler. WOTF client statements indicates understanding?

RN is planning d/c of pt who had an ischemic stroke. RN should ensure pt is d/c with WOTF types of meds?

pt with left-sided hemiplegia following a stroke. WOTF actions should RN include in POC?

RN is planning care for pt with central line. WOTF actions should RN take?

pt with head injury has alternating periods of rapid breathing and apnea. RN should document this as:

pt has a chest tube. asks why the fluid in the chamber rises and falls. WOTF statements should the RN make?

WOTF ECG findings indicate first degree heart block?

Patient taking isoniazid and rifampin, which statement shows they understand?

A nurse is reviewing a client’s laboratory values and notes a potassium level of 2.8 mEq/L. WOTF should RN expect?

RN is to admin a unit of packed RBC and notes there are several small clots floating in bag. WOTF actions should RN take

pt rec blood transfusion has bounding pulses, hypertension, & distended jugulars. WOTF meds does RN administer?

RN is caring for a pt following endoscopy with conscious sedation. WOTF is the RN's priority?

A nurse is assessing a client who has a diagnosis on colon cancer WOTF should the nurse expect?

RN is reviewing Hx of a pt to get open heart surgery. WOTF is a contraindication to rec heparin?

RN is teaching AIDS pt who wishes to continue self care, but lives alone. WOTH actions by RN shows advocacy?

RN suspects pt with DM is experiencing hypoglycemia. WOTF assessment findings supports this suspicion?

RN is caring for a pt who has advanced liver disease. WOTF laboratory results should the nurse monitor?

Pt gets TPN. The crane infusion is almost complete and the new solution is not available. WOTF actions should RN do?

RN is doing abdominal assessment on postop pt x3 days for colon resection. WOTF should RN report to provider?

pt receives TPN. WOTF labs should RN monitor for overall nutritional status?

RN is assessing a client admitted with peripheral vasculardisease. WOTF findings indicates a venousvascular disorder?

pt has just returned from Sx with an external fixator to the left tibia. WOTF requires immediate intervetion?

preop pt reports an allergy to bananas. The pt is at an increased risk for allergy to...

WOTF interventions should RN include for pt w/ full thickness burns on lower extremeties?

A nurse is planning care for an older adult client who has Meniere's disease. WOTF should be included in the plan?

A nurse is caring for a client who had a total hip arthroplasty. WOTF should the nurse take to prevent hip dislocation?

A nurse is monitoring a client who is receiving two units packedRBC's. WOTF indicates a hemolytic transfusion reaction?

WOTF clients requires a private room?

pt post total knee arthroplasty reports 6/10 pain. WOTF interventions should RN take?

RN is caring for pt who is 6 hours postop external fixator of tibial Fx. WOTF actions should nurse take?

RN is providing d/c ed to partner of pt who has a linear incision site. WOTF wound care instructions should RN include?

RN is admin potassium chloride via IV infusion to a pt w/ severe hypokalemia. WOTF actions should RN take?

RN is providing teaching to a pt w/ new Dx of DM. WOTF supplies should RN instruct the pt to get?

RN prepares to admin furosemide to a pt w/ acute heart failure. WOTF labs shows a contraindication to receive it?

pt w/ cancer tells RN he would rather try vitamins instead of chemo. WOTF should the RN say?

RN is preparing to perform ocular irrigation for a pt following a chemical splash to the eye. WOTF should RN do 1st?

RN is providing teaching to a pt postop total hip artroplasty. WOTF should RN include?

A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. WOTF should the nurse expect?

Serum sodium level of 120 mEq/L. Which of the followings findings should the nurse expect?

A nurse in the PACU is caring for a client. Which of the following assessment is the nurses priority?

pt to eat a low purine diet. WOTF food should RN suggest?

RN is providing teaching to pt rec opioids for pain. WOTF info should RN include?

RN is caring for a client who has just undergone a total laryngectomy. WOTF is the RN’s priority?

pt w/ genital herpes receives d/c teaching by RN. WOTF statements indicates effectiveness of teaching?