Musculoskeletal
A patient has had a left BKA and states they are feeling pain in the left lower leg. The nurse knows the patient is experiencing a common phenomenon known as this
What is phantom pain
A reduction in the number of circulating RBCs or hemoglobin, which leads to inadequate oxygenation of tissues, is known as this
What is anemia
This is the only type of insulin that can be given IV
What is regular insulin
A nurse is caring for a patient recovering from a laparoscopic cholecystectomy surgery. The patient reports pain in the shoulder blades. How would the nurse respond?
What is ambulate in the hallway at least twice a day
Order is for Protonix 40 mg tablet daily. Available is Protonix 20 mg tablet. How many tablets will the nurse administer?
What is 2 tablets
An older man with a pelvic fracture and who also smokes, would be more at risk for the development of this
What is a DVT
What lab value should the nurse assess before giving an Epogen injection?
What is hematocrit
A nurse notices decreased tactile sensation in both feet of a DM patient. Which action should the nurse take first?
What is examine the client's feet for signs of injury
What is pain radiating to the McBurney's point
Order is for Heparin 900 units IVP. Available is Heparin 1000 units/ml. The nurse will administer ________ mls
What is 0.9 ml
It would be ideal to use this when positioning a patient who has had a hip fracture repair today
What is an abductor pillow
A patient taking iron supplements is voicing concerns about their stools being dark black. What would be the best response by the nurse?
What is this is a normal side effect or iron supplements
A nurse caring for a client who is recovering from a hypophysectomy. Which action should the nurse take first?
What is report a clear or yellow drainage from the nose
What is the dietary requirement for a patient who has celiac disease?
What is a gluten free diet
Order for verapamil hydrochloride 120 mg by mouth. Available is verapamil hydrochloride 80 mg tablets. The nurse will administer ______ tablets.
What is 1.5 tablets
When a patient is in traction, the nurse would take immediate action if the weights were doing this
What is resting on the floor
What would be an assessment finding in someone diagnosed with Hodgkin's disease?
What is a firm painless lymph node
What is encouraging the patient to choose foods high in sodium
What is frequent swallowing, indicating bleeding
Ordered is Nitroglycerin 30 ml/hr. The patient will receive _______ mls in a 8 hour period.
What is 240 mls
A patient who sustained a basilar skull fracture may present with bilateral racoon eyes and this type of sign, or bruising behind the ears
What is a battle's sign
A patient who is receiving Heparin is diagnosed with Heparin Induced Thrombocytopenia (HIT). What priority action will the nurse include in the plan of care?
What is discontinuing the Heparin
A nurse is caring for a client who possibl had SIADH. the client's sodium is 110 mEq/L. Which action should the nurse take first?
What is restrict the client's fluid fluid intake
A patient admitted with an intestinal obstruction has a NG tube to low-intermittent suction. What nutritional imbalance is the nurse most concerned with?
What is fluid and electrolyte balance
Order is for Cardizem 20 mg/hr. Concentration is 250 mg/250 ml. What rate would the nurse set the infusion pump to run at _________ ml/hr.
What is 20