Blog

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 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? 

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

A BNP is done on a patient who is suspected of having _______________________________.

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

There are _______ Cranial Nerves. 

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.

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)

Cranial Nerve # 3 (Oculomotor) is assessed when checking ___________________________. 

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?