Author: Anonymous

Your patient 25 years-old female patient is going for a Laparoscopic Appendectomy.  What is the only Lab test that is absolutely necessary for her, (unless otherwise ordered)?   (*Note she has a normal menstrual cycle)

Your patient on a simple mask at 6L / min has an O2 sat of 98%; he seems comfortable and in no distress, so it would be OK to turn the flow down to 4 L / min.

There are _______ Cranial Nerves. 

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 You call the PC physician with your concerns and he orders an ABG and chest x-ray, which showed infiltrates in the RLL, consistent with pneumonia. What ABG results would fit the scenario best if the CXR is correct? 

Your patient is on Coumadin (warfarin) because of a DVT. The physician would like to see the Therapeutic Range of the PT INR for this patient at _______________. 

The Treatment Modality that is considered an “Excreter” for Hyperkalemia is _______________________________. The others are known as “Shifters” or “Stabilizers”. 

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 2 of Scenario:   You request a consult from the dietician; what Labs might she order initially that the admitting physician may not order? 

You have to give an IM injection.  You have to give your patient 200 mg, and the directions say to mix 1.8 mL of sterile water to reconstitute, equaling 2 mL in total solution. Once mixed, the total in 2 mL equals 400 mg. How much do you draw into the syringe to give your patient?  ________________  

Patients who are going to have an Endoscopy must be NPO for at least ___________________ prior to the procedure. 

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 If the elevated Temperature made you think of an infection – possible reasons could be all of the Following Except  __________________.