A.
Mild pain at the incision site
✓
B.
Respiratory rate of 8 breaths/minute
✓
C.
Patient reports feeling sleepy
✓
D.
Bowel sounds present
✓
B.
Fentanyl, Hydromorphone
✓
C.
Acetaminophen, Ibuprofen
✓
A.
Say nothing and continue
✓
B.
Inform the physician that they are contaminated and need to re-gown
✓
C.
Help the physician re-adjust their gown
✓
D.
Wipe the contaminated area with an alcohol swab
✓
A.
Suggest they just need to exercise more
✓
B.
Validate their feelings and assess for additional symptoms of depression
✓
C.
Tell them to stop crying
✓
D.
Ignore their complaints
✓
C.
Dissociative amnesia
✓
A.
Using a cuff that is too wide
✓
B.
Using a cuff that is too narrow
✓
C.
Patient's arm is at heart level
✓
D.
Taking multiple readings
✓
A.
Acute exacerbation of COPD
✓
A.
Extensive social media engagement
✓
B.
A plan for follow-up appointments, medication management, and emergency contacts
✓
C.
A luxurious vacation plan
✓
D.
Only medication details
✓
A.
Allow the avoidance to continue
✓
B.
Directly challenge their avoidance in a confrontational manner
✓
C.
Gently bring the conversation back to the avoided topic, validating their discomfort
✓
D.
Shift the topic to something entirely different
✓
A.
Increase the IV fluid rate
✓
B.
Elevate the head of the bed, slow down or stop the IV infusion, and notify the physician
✓
C.
Administer a diuretic without an order
✓
D.
Encourage more fluid intake
✓
A.
Appendicitis or peritonitis
✓
A.
To complain about difficult patients
✓
B.
To quickly transfer critical patient information and care responsibilities to the next shift
✓
C.
To gossip about colleagues
✓
D.
To update the patient's family only
✓
A.
Challenge their beliefs directly
✓
B.
Dismiss their beliefs as irrational
✓
C.
Seek to understand their perspective within their cultural context, avoiding judgment
✓
D.
Explain your own cultural beliefs to them
✓
A.
Apply the blood to the reagent strip and immediately insert it into the glucometer
✓
B.
Wipe the blood off the strip before inserting
✓
C.
Insert the strip into the glucometer before applying blood
✓
D.
Shake the glucometer before reading
✓
A.
Call the patient's family
✓
B.
Initiate chest compressions
✓
C.
Document the time of unresponsiveness
✓
D.
Perform mouth-to-mouth resuscitation only
✓
A.
Planning your next response while the patient speaks
✓
B.
Silently judging the patient's statements
✓
C.
Paying full attention, demonstrating empathy, and providing verbal/non-verbal cues of understanding
✓
D.
Only focusing on factual information
✓
A.
Explore the traumatic memory in detail
✓
B.
Help the client with grounding techniques to return to the present moment
✓
C.
Tell them to calm down
✓
D.
End the session abruptly
✓
A.
To decrease blood flow to the extremity
✓
B.
To make the veins more visible and palpable
✓
C.
To sterilize the skin
✓
