Author: Anonymous

A nurse is educating a patient about hiatal hernia symptom management. Which of the following patient statements indicates an understanding of the teaching? Select all that apply.

A nurse is caring for a patient with a nasogastric tube for feeding. During shift assessment, the nurse auscultates a new onset of bilateral lung crackles and notes a respiratory rate of 30 breaths per minute. The patient’s oxygen saturation is 89% by pulse oximetry. After ensuring the patient’s immediate safety, what is the nurse’s most appropriate action?

A nurse performed a bedside fingerstick glucose on a type I diabetic patient who has been NPO for 24 hours. The patient’s result was 296 mg/dL. The nurse recognizes the need for a rapid acting insulin to be administered. Which insulin should the nurse anticipate administering to the patient?

An adult patient has sought care for the treatment of obesity. Which potential factors should the nurse assess that could have contributed to the patient’s current diagnosis? Select all that apply.

A nurse is educating a patient about hiatal hernia symptom management. Which of the following patient statements indicates an understanding of the teaching? Select all that apply.

An adult is postoperative day 2 following bariatric surgery. The nurse’s most recent assessment reveals abdominal pain that the patient rates at 8 out of 10, heart rate of 102 beats per minute and an oral temperature of 38.1°C (100.6°F). What is the nurse’s best action?

The nurse is caring for an acutely ill patient. What assessment finding should prompt the nurse to inform the physician that the patient may be exhibiting signs of acute kidney injury (AKI)?

The nurse is caring for an acutely ill patient. What assessment finding should prompt the nurse to inform the physician that the patient may be exhibiting signs of acute kidney injury (AKI)?

A patient presented to the ED complaining of nausea and vomiting, weight loss, and blurred vision. Upon assessment the patient was noted to have Kussmaul respirations, orthostatic hypotension and a fruity odor to their breath. The patient’s blood sugar was measured at 572 mg/dL. Which set of ABG results should the nurse expect the patient to exhibit?

A patient has received a diagnosis of irritant contact dermatitis.  What patient education should the nurse prioritize for the patient’s subsequent self-care?