Adult 1 Quiz 2: Clicker questions

  1. To prevent excessive pressure on the tracheal capillaries, the pressure in the cuff on the tracheostomy tube should be ....
    less than 20 mm Hg
  2. The nursing instructor in observing the student nurse suction a patient for the first time. Which of the following require action by the nursing instructor. The student ....
    Suctions the patient, waits a minutes, and inserts the catheter to suction the patient again. This is wrong becuase the student did not HYPERVENTILATE between suctioning
  3. Why does the nurse suspect that the following patient is experiencing inadequate oxygenation: Patient B who is 1st day post-op gallbladder surgery with HR 100 and diaphoretic
    TACHYCARDIA AND DIAPHHORESIS = inadequate oxygentation
  4. The nurse is caring for a patient who has just returned from rhinoplasty surgery. What type of assessment finding warrants additional assessment?
    Demonstration of repeated swallowing - may indicate hemhorrage
  5. The nurse is caring for a patient who just had rhinoplasty, what type of action is best to delegate to the LPN?
    Administration of a stool softener - want to give the LPN the highest level of responsibility
  6. An adult male received regular insulin at 7 AM. At 10 AM he is irritable, and feels shakey. What is an appropriate nursing action?
    Administer sugar. He is irritable and shakey becuase it is the peak of his regular insulin.
  7. A patient was admitted with hyperglycemix hyperosmolar state (HHS). Which of the following orders should the nurse question: IV regular insulin, IV normal saline, IV sodium bicarbonate, Cardiac monitor
    • IV Sodium Bicarbonate - Bicarbonate is given for DKA not HHS. Difference between DKA & HHS = NO KETONES with HHS
    • The pt's sugars are high =dehydration and the need for normal saline. Cardiac monitor is to watch for a drop in HR
Card Set
Adult 1 Quiz 2: Clicker questions
clicker questions