Fundamentals QuestionDifficulty
You’ve noticed your patient has been eating less than 10% of his meals, if any, and does not snack in between meal times. Which of the following would NOT be an appropriate intervention? Select all that apply....
You just recieved a call from the lab to tell you that your patient who has been having diarrhea is positive for clostridium difficile and the appropriate isolation precautions need to be ordered and implemented as soon as possible. What isolation precautions will be necessary for this patient? Select all that apply....
Your patient is confused and keeps getting up out of bed. He is an elderly man from a nursing home with mild baseline dementia and a current urinary tract infection. His family was here during the day, but have left for the evening. He redirects and reorients easily, but does easily forget where he is. Which of the following would NOT be an appropriate safety measure for this patient? Select all that apply....
The physician believes your patient is suffering from sepsis. Which of the followig orders would you NOT anticipate recieving from the MD if they believe the patient to be suffering from sepsis? Select all that apply....
Your patient is a 3-year old male. According to Erikson’s Theory of Psychosocial Development, you know that the pyschosocial crisis he’s currently experiencing is autonomy versus shame and doubt. Which of the following activities would demonstrate to you that he is successfully working through that stage? Select all that apply....
You are working in a Family Medicine clinic and completing the admission paperwork and interview for a new patient to the practice. Which of the following questions would align with and address the principles of the Health Promotion Model? Select all that apply....
Your patient is recovering from a femur fracture. She does not want to get out of bed today, and has refused to work with PT and OT the last 2 days. The physician has ordered for you to transition the patient from IV to oral pain medications. She has requested 4 mg IV Morphine and to rest. What is the best response to this patient?...
Your patient would like to try some non-pharmacological interventions to help him cope with his chronic diabetic neuropathy. Which of the following would NOT be an appropriate intervention for this patient?...
Your patient is 46 year-old, post-op day 1 after a right lower lobe thoracotomy. He has told you he is in terrible pain. What would be the first appropriate response?...
Your patient was admitted with pneumonia 2 weeks ago. She was intubated and sedated for the first 48 hours, a Foley catheter was inserted, and a central venous catheter. She was weaned off of all of her vasoactive medications after the first 96 hours. She has normal saline infusing at 75 ml/hr and intermittent antibiotics (Zosyn) ordered. She has begun working with PT/OT and has been up in the chair for her all meals. Case management is looking for a rehab facility to transfer the patient to in the next few days. Appropriate foley care has been documented and her central line dressing was changed yesterday per protocol. What is your primary concern for this patient?...
You have an order to insert a Foley catheter on your male patient with an enlarged prostate with urinary retention. You have attempted to advance the catheter up the urthetra, however you cannot advance any further. What would be your next step in addressing this?...
You are working in the emergency department and your patient has been diagnosed with a ruptured achilles. He’s been referred to an orthopedic surgeon and is being discharged with pain medications and crutches. You have sized them appropriately for his height and showed him how to use them. He is performing a return-demonstration for you before he can be released because he has to go up 4 steps to get into his home. How do you know more teaching is necessary?...
The physician just called you to let you know she will be performing a thoracentesis on your patient and would like you to get him into position for this procedure, as she is on her way to the unit now. What does she mean by this?...
You are caring for a patient who is in a semi-private room with another patient. You just recieved a call from the lab that your MRSA screening came back positive. What would be the most appropriate action at this time?...
Your patient has two IV’s, one of which has Cardizem infusing at 5mg/hr, and the other has a heparin drip infusing at 11 units/kg/hr. The patient has already removed their Foley catheter (with the balloon still intact), their sequential compression devices and blood pressure cuff multiple times. You have reoriented her, moved her closer to the nurse’s station, implemented fall precautions, and increased rounding, but you are very worried she will remove these IV’s. It was incredibly difficult to obtain these two access points and you are concerned that if you lose access from her removing them herself, you may not be able to get an additional IV. What would be the next most appropriate intervention for this patient to ensure her safety?...
Your patient is a 45 year-old male with two school-aged children, who is a a PE teacher at a local high school. He is divorced and has the kids this week. He shares joint-custody with his ex-wife, who is out of state for work right now. He is being admitted for a ruptured appendix. Which of the following interventions would be most important for this patient?...
It’s 0700 and you just got report on your patient. You are caring for a toddler who is going to have a chest x-ray later this afternoon to evaluate treatment. When should you tell the child about this procedure to make it go as smoothly as possible?...
You are working on an oncology unit and your patient has just been diagnosed with cancer yesterday. They are still in shock from the diagnosis, as symptoms came on somewhat suddenly. Your patient is a single 26 year-old male with a supportive family. According to Erik Erikson’s Theory of Psychosocial Development, he is currently working through the crisis stage of intimacy vs. isolation. According to this theory, which relationships are the most significant at in this stage and if not successfully explored may result in isolation?...
A 22 year-old patient is has come to their primary care physician for a flu vaccination. Which level of prevention would this be considered?...
You are beginning a therapeutic relationship with a patient who has been admitted to the correctional facility that you work at. She is a Type I diabetic who will be incarcerated for approximately 4 months. When will you begin to plan for the termination phase of this relationship?...