Similar Question
Nursing case scenario : 80 year old male with right knee replacement (one week post op) PMH: Diabetes, Hypertension, Osteoarthritis Staples in place, site open to air, +2 edema in right leg Presently taking: Coumadin 5 mg OD Tramadol HCL 50mg OD Percocet 5/325mg 1-2 tabs q. 3-4 hours prn for severe pain Glyburide-Metformin HCL 2.5mg/500mg 1 BID Labetalol HCL 200mg 1 BID Allopurinol 100mg OD PT/INR drawn twice a week Ambulates with walker 1. You complete medication reconciliation. Allopurinol is missing. What action would you take? a. b. c. d. 2. Patient saw Dr. Bryant yesterday to have PT/INR drawn. He states the doctor increased his Coumadin by ½ tablet. Dr. Bryant is not in the computer system and the patient does not know his phone number. How would you find the doctor’s phone number? List 4 ways you could locate the doctor. a. b. c. d. 3. The patient’s INR result is 8.0. What actions should you take? a. b. c. d. 4. Patient rates his pain as an 8 on a scale of 1-10. States he is taking his pain medication. What action would you take? a. b. c. d. 5. You note that the incision is red and inflamed. What actions would you take? a. b. c. d. 6. The patient reports bleeding gums during your visit today, what actions would you take? a. b. c. d.
Answers:
1. You complete medication reconciliation. Allopurinol is missing. What action would you take?
(a) Creation of a complete and accurate patient medication list
(b) Comparison of that gold standard list to other available sources listing patient medications
(c) The missed drug is then clarified again and added in the patient’s available prescription.
(d) The dosage is discussed with patient along with when it has to be taken.
2. List 4 ways you could locate the doctor
(a) Locating the physician by his name in the medical record and searching his number in the hospital directory
(b) Searching the physician details with existing physican group that is available in the computer room
(c) Searching for contacts in online directory of the hospital for physician number
(d) Checking for Medical record data base where the physician contact details could be found
3. The patient’s INR result is 8.0. What actions should you take?
(a) Check for major or minor bleeding
(b) Working out on cause on INR shoot up
(c) Corelating the patient's need for coumadin, it dosage and frequency
(d) Screen for any other urgent medical conditions
4. Patient rates his pain as an 8 on a scale of 1-10. States he is taking his pain medication. What action would you take
(a) Cognitive-behavioral interventions like biofeedback to help patient's perception of pain
(b) A non-pharmacological intervention approach like music therapy should be used in combination with pharmacological interventions to provide pain relief.
(c) Therapeutic touch being a complementary and alternative pain relief method should be used.
(d) Checking the patient medication chart and understanding weather correct patient dosage has be done or not.
5. You note that the incision is red and inflamed. What actions would you take?
(a) Start on antibiotics with physician recomendation
(b) Check for pus involvement in the surgical site, if present a sample is taken and sent for culture
(c) Rinsing the wound with saline solution
(d) Debride the wound by removing dead or infected tissue in the wound
6. The patient reports bleeding gums during your visit today, what actions would you take?
(a) Instruction and guidance to the patients on proper oral hygiene for proper plaque control
(b) Speak with the physican about changes if needed in the coumadin dosage and recommend the same
(c) Educate patient to avoid hard brushing
(d) Recommend plaque removal if found any on oral examination
Quick Reply
