Blog

You are about to discharge a patient with osteoporosis as one of her diagnoses. She asks: “Is there any exercises I can do to help this situation?”.  Your best response would be:  

Nursing Diagnoses for the Post-op patient for most moderate to larger surgeries would include all of the following Except: ___________________

Potential Problems with Tube Feedings are all of the following Except: 

Use This Scenario for the next Few Questions. Put your Critical Thinking Hat on – not everything may be as it appears! You receive your 68 year-old patient on your unit and when you assess her you realize she appears very malnourished, as well as dehydrated. She lives alone and was found on the kitchen floor from an apparent fall, and had been there for approximately 2-3 days. She had a hematoma on the right side of her head, and she had outward rotation of her right leg. She has a history of Hypertension (on Lopressor), mild arthritis, has occasional Bronchitis especially during Spring, and had a Laparoscopic Cholecystectomy 3 years ago.  Her Initial V/S in the ER are:  T – 100.1;  B/P  116/76;  HR – 86; R – 22; O2 Sat – 95% on room air.  Question 4 of Scenario: The orthopedic surgeon comes in and says she has a fractured right hip. What would you anticipate that he would order to help control the muscle spasms and provide immobilization prior to her upcoming surgery? 

Use this new Information regarding the patient from prior Scenario for the next Few Questions. Put your Critical Thinking Hat on – not everything may be as it appears! It is now 2 days after the Right Hip Repair for the same 68 year-old female patient you admitted after her fall; you are back to work, not having seen the patient since prior to her surgery.  She seems to be recovering fairly well, but her mobility is not what the surgeon or P.T. are expecting at this time.  On your initial assessment during report she seemed a little tachypneic. These are this AM’s V/S from the CNA at 8 am:  T 101.3;  B/P 128/82;  P = 94;  R  26;  SaO2  92% on room air These are some of the labs you receive – which one are you the most concerned with at this time?

Use This Scenario for the next Few Questions. Put your Critical Thinking Hat on – not everything may be as it appears! You receive your 68 year-old patient on your unit and when you assess her you realize she appears very malnourished, as well as dehydrated. She lives alone and was found on the kitchen floor from an apparent fall, and had been there for approximately 2-3 days. She had a hematoma on the right side of her head, and she had outward rotation of her right leg. She has a history of Hypertension (on Lopressor), mild arthritis, has occasional Bronchitis especially during Spring, and had a Laparoscopic Cholecystectomy 3 years ago.  Her Initial V/S in the ER are:  T – 100.1;  B/P  116/76;  HR – 86; R – 22; O2 Sat – 95% on room air.  Question 3 of Scenario:  When you first do your assessment you notice that the patent’s pupils are unequal – Right larger than Left, and they are both slow to respond to light.  What concerns, if any, do you have about this finding? 

Your Dialysis patient is on a potassium-sparing diet.  The following foods should be monitored carefully and taken sparingly Except for: ______________________. 

The physician orders your patient to be on 3% Saline to help correct her hyponatremia.  This is an example of what type of fluid? 

Bowel sounds greater than 6 in less than 30 seconds is a criteria for what type of bowel sounds? 

When assessing the abdomen using the 4-quadrant method, you feel an enlargement in the Right Upper Quadrant.  This is most likely the ____________________.