Title RECALLS 2 - NP3 - SC ✅

A. Prioritize the problem B. Coordinate with the different units C. Have a random report to the supervisor D. Develop a monitoring plan Situation 7 – Nurse Tin is assigned in the Surgical Ward of a Tertiary Medical Center with several patients who are for diagnostic tests and for surgery. 31. Mr. Anthony, 38 years old, is scheduled for Laparoscopic Cholecystectomy in the morning the next day. He verbalizes to you and says, “Dr. Unido will open me up to remove my gallstones?” which of the following is your BEST response? A. “Let us discuss with the surgeon your operation before you go to the OR.” B. “I know the surgeon will remove your stones with a new technique.” C. “Let me call the OR supervisor to discuss the procedure with you.” D. “I will call the anaesthesiologist to explain more the procedure.” 32. A critical component before Mr. Anthony goes for surgery is the nurse’ preoperative teaching. Which of the following is NOT advisable prior to surgery? A. Teach him deep breathing exercises B. Fast at midnight, but can drink water if he becomes thirsty. C. Instruct him to void before going to the operating room. D. Teach him leg and coughing exercises 33. While giving health instructions to Anthony. He looks very anxious and said to you, “I might not be able to wake from anesthesia after my operation.” Your BEST response is _________. A. “Do not worry, everything will be alright.” B. “Let me tell to your family your fear.” C. “I will not let you go to the OR until I have talked to your surgeon.” D. “Don’t Say that, I will discuss your concerns with your anaesthesiologist.” 34. Mr. Anthony returned back to the ward, after recovering from anaesthesia. He complain of pain over the scapular region. Which of the following nursing actions should you do? A. Apply heating pad over the painful area. B. Turn client from side to side. C. Give demerol as ordered. D. Apply cold pack over the affected area. 35. After 5 days, Mr. Anthony is ready to go home. His discharge instructions include observations of the following complications, EXCEPT: A. Palpitation B. Loss of appetite C. Increased body temperature D. Bleeding 36. Situation 8 – Meg is assigned as charge nurse at the Cardiovascular Ward in a Medical Center. There are 20 patients, classified as follows: 2 Total Care (TC), Partial Care (PC) and 9 Ambulatory Care (AC). The ward’s morning duty are 3 staff nurses and 2 nursing attendants (NA). How will your distribute the patients to the 3 Registered Nurses and 2 Nursing Assistants? A. 2 Registered Nurse for Total Care patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care Patients, 1 Nursing Assistant for Total Care. B. 1 Registered Nurse and 1 Nursing Assistant for Total Care Patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care Patient, 1 Registered Nurse for Ambulatory Care patients. C. 2 Registered Nurse for Total Care patients, 2 Nursing Assistant for Primary Care Patients, 1 Registered Nurse for Ambulatory Care Patients. D. 1 Registered Nurse for Total Care patients, Registered Nurse and 1 Nursing Assistant for Primary Care patients, 1 Registered Nurse and 1 Nursing Assistant for Ambulatory Care patients 37. In as much as this is a cardio-ward what basic equipment/materials should be available at all times? 1. o2 2. Ambu Bag 3. Suction Apparatus 4. Endotracheal A. 1, 2, 4 B. 1, 2, 3, 4 C. 1, 2, 3 D. 2, 3, 4 38. Which of the following emergency medicines should be available at the emergency cart at the Cardio Ward? 1. Epinephrine 3. Valium 2. Demerol 4. Coumadin A. 1, 3 B. 1, 2 C. 2, 4 D. 3, 4 39. When stocking fluids in the emergency cart. What should Nurse Meg instruct the nurses? 1. Put the recently- delivered at the back of the old stock 2. Put the old stock in front of the newly-delivered ones 3. Check the fluids for sediments and discoloration 4. Keep the fluids inside the cooler A. 1, 2 B. 1, 4 C. 3, 4 D. 2, 3 40. How will Nurse Meg arrange the patients in the ward? Put the ______________. A. Primary Care in between the Ambulatory Care patients. B. Primary Care and Ambulatory Care patients together and Total Care at the corner of the room. C. Total Care patients near the nurses and the Ambulatory farthest D. Ambulatory Care patients near the Total Care ones. Situation 9 – Mr. Nelson, 62 year old, an Executive of a shoe company was brought to the hospital after having vomited bright red blood immediately after supper. He claimed he had drinking session with his former classmates in college. He was already advised by their family physician not to drink alcohol due to a suspected fatty liver. You are the nurse-on-duty when he was admitted. 41. Based on your assessment and history taking for Mr. Nelson which PRIORITY FINDINGS should you document and report to the physician? A. Use of anti-inflammatory drugs. B. Vital signs BP- 140/90, PR- 88/min.PR24/min. C. abdominal pain (3 in a scale of 10) D. Tense, rigid abdomen 42. You have formulated your Nursing Diagnosis for the patient and wrote in the nursing care plan. Which ONE of the following? A. Deficient Fluid Volume R/T vomiting of blood and gastric secretion. B. Non-compliance R/T alcohol and medication intake. C. Fear of death R/T unknown cause of bleeding. D. Risk for Aspiration R/T active bleeding. 43. The physician orders insertion of nasogastric tube with lavage to Mr. Nelson. What kind of solution will you expect to be written in the doctor’s order when a patient will undergo a lavage? A. Normal Saline Solution B. Distilled Water C. Tap warm water D. Dextrose 5% in water 44. When a patient has a gastro-intestinal bleeding and there is a presence of hematemesis, how should you describe this in your documentation? A. Bloody vomitus appearing as fresh, bright red or “Coffee-ground” in appearance. B. Brownish vomitus appearing as “Chocolate” in appearance from a previous Food Intake. C. Black, tarry stools in appearance often foul smelling, from a previous food intake. D. Small amounts of fresh blood observed either through gastric secretions or stools. 45. The following are the practice guidelines in documentation. Which ONE of these is NOT recommended to be written in your charting? A. Had urine output of 600 cc during the whole shift. 3 | Page