Sara Lin vSim Questions

A nurse is preparing to to administer 1 mg of a controlled substance via intravenous push for pain relief. The medication is available in 2 mg syringes. What should the nurse do with the extra medication?

Dispose of the extra 1 mg with a second nurse as witness and both nurses document it.

The nurse knows that Sara Lin has understood the discharge education on how to monitor her incision for signs of infection when she reports that she will monitor her incision for which of the following?

Increased drainage, redness, and swelling around the incision site.

A nurse rounding on a patient in the postanesthesia recovery unit notices the bandage covering the incision site shows evidence of bleeding through the dressing. What is the priority action that the nurse should take?

Reinforce the dressing.

Sara Lin is a patient who had an appendectomy two days ago. Nurses caring for her are utilizing standard precautions in her care to prevent infection. The nursing student understands that, in order to meet standards, which of the following is most appropriate in the care of this patient?

Clean, nonsterile gloves should be worn if there is risk of touching blood or body fluids.

Sara Lin is a patient who had an appendectomy two days ago. The nursing assistant reports to the nurse that the patient's vital signs (blood pressure, respiration, and pulse) are all slightly elevated. What should the nurse do next?

Complete a pain assessment of the patient.

A patient who is in intense pain expresses concern about taking oxycodone hydrochloride tablets. Which is the best response by the nurse?

Explain that the medication will likely provide the best relief for the patient's pain.

Which of the following postoperative assessments should have been completed when Sara Lin arrived on inpatient after surgery? (Select all that apply).

Orientation to time, place, and person. Vital signs and oxygen saturation. Type, amount, and flow rate of intravenous fluids. Assessment of the surgical site.

Sara Lin is concerned about pain management when she transitions to oral pain medication. What should the nurse include in the teaching? (Select all that apply.)

PRN medications are given as needed. You can use complimentary therapy in conjunction with pain medication. Please ask for pain medications before the pain is severe.

A nurse notes that there are two patients on the unit who are prescribed different medications with similar sounding names. The patients are assigned to different nurses. The nurse knows medication administration safety will be enhanced by which of the following?

Preparing medication using three checks.

A nurse is caring for a patient who had an appendectomy. The patient is having difficulty breathing, is nauseated, and does not want to use the incentive spirometer because it hurts the incision. What is the nurse's priority intervention at this time?

Reposition the patient in bed to improve breathing.