Questions and answers in Nursing.

(1) What is code blue in hospitals setting?.

(A )Adult medical emergency (Cardiac arrest)

(B )Pediatric medical emergency

(C) Bomb threat.

(D) Combative person.

Correct answer A.

Rationale: This is a Medical emergency occurring within the hospital. And the health care professionals should push the alert button or dial specific number.Hospitals have different codes for different situations.The hospital staff are familiar with these codes. When adult is having cardiac arrest you call for Code blue. Follow your hospital policy and know what number to dial.Pediatric medical emergency is Code white. Code yellow is Bomb threat,and Code Grey is Combative person.

(2) The nurse cares for a patient receiving TPN.The patient is to receive 1000ml of TPN infused over 24hours period. While it is time for the nurse to change the patient TPN solution. There is 200ml remaining in the bottle. Which of the following actions if taken by the nurse is most appropriate?.

(A)Changing the infusion as scheduled will decrease chance of infection. The unused TPN solution should always be discarded.

(B )Do not waste TPN.

(C )There is 200ml remaining in the bottle ,wahoo.

(D) All of the above except C.

Correct answer A.

Rationale: TPN (Total Parenteral Nutrition)has a time schedule and runs for 24hours. Whatever that is left in the bag and the tubing must be discarded. It is a method of feeding that bypasses the gastrointestinal tract.

(3)A 16years old girl was taken to the Emergency room with nausea/Vomiting for three days.She is type 1 Diabetic(IDDM).Her arterial blood gas reveals the following PH 7.18,Paco2 26mmHg,Pao2 95mmHg,HCO3 10.The nurse recognizes that this is related to?.

(A )Increased production and decreased utilization of ketones bodies. Diabetes ketoacidosis.

(B) Arterial blood gas is not cooperating with each other.

(C)This is normal for type 1 diabetes.

(D)None of the above is correct.

Correct answer A.

Rationale: Production goes up and utilization goes down. So increased production and decreased utilization of ketones bodies results in Diabetes ketoacidosis. Patient is most often admitted in ICU to monitor and control the abnormal blood sugar levels.

(4)A 21years old woman with type 1diabetes was admitted after reducing her insulin dose when the flu symptoms prevented her from eating her regular food. She has been treated successfully and she is ready to be discharged. In planning discharge teaching for this patient, the nurse should identify that this patient is a a greater risk for?.

(A ) For abnormal urine output. Check blood sugar and urine specific gravity.

(B )For poor blood sugar control. Check blood sugar Q6hours for hyperglycemia.

(C)Check urine specific gravity for osmotic diuresis.

(D )Check for hypotension and hypoglycemia.

Correct answer B

Rationale:Having reduced her diet and insulin, she should monitor her blood sugar frequently.

(5)A 22years old patient is having lots of pain on the right lower quad, rebound tenderness, increased white blood cells,mild fever. The patient ask the nurse why is she having pain on the right lower quad?.

(A) The nurse should know that appendix is on the right lower abdomen. And that is why she is having pain there.The pain originated from the umbilical and travelled down to the right lower abdomen.

(B) The nurse should know that appendix is on the left lower quad.

(C)The nurse should know that the kidneys are on the right lower quad.

(D )All of the above is correct.

Correct answer A.

Rationale: Appendicitis is an inflammation of the appendix. This is a projection from the apex to the cecum.