the nclex-style question thread.

I prefer a spit polish on mine but whatever floats your boat is cool........

 

#3 is, indeed, the correct answer. Good job people! I can't remember where I pulled that question from so I can't paste the rationales, but you guys did a pretty good job of narrowing it down.

It threw me a little at first because I am thinking, 'well, I can't guarantee that a doctor is going to prescribe this patient a medication.' But, when you 'think like a nurse' you remember that 1. breathing and airway deficiencies are the number one priority when planning medical care and 2. this patient is dying and relieving her discomfort and anxiety in a way that is conducive to her stage of illness can be assumed.

1. is obviously insensitive and inappropriate
2. would be promising the patient something you can't guarantee
4. you should never minimize a patient's experience by comparing it to the experiences of others

Here's another:

 

Oooo I know this one! #2! The only situations informed consent is not needed is when it is an emergency and attempting to get the consent would cause harm or death to the patient, and when the patient waives the right to give informed consent. This is obviously an emergency, so they would have to do the surgery anyways. 1 and 3 would take way too long, and 4 isn't allowed.

This was explained to me in a class, as well as about half the episodes of Law and Order:SVU.

 

I'm going with #2 also since the patient is unconscious and it is an emergency. Even if I'm wrong and they can't do the surgery, I would hope he/she was prepped and ready to go (which would also be #2)

 

#2 as well

mixedmedia for the first question, could i choose "all of the above" for me?

 

You guys are so smart. #2 is indeed correct.

Ok, another one:

If you don't know what a word means, look it up. It's fun! At least I think it is.

 

I'd go with #1.

 

I'm going with #4

 

yep im guessing 1

i have no idea what an infiltrated IV line is though...
hypersensitivity is a major reaction, which this isnt
an allergic reaction would be itchy, which this isnt

so its 1 for me

 

Lish makes a compelling point against allergic reaction, so I'll switch to #2

 

#1
Those are signs of inflammation of the vein wall.

 

I'm going with 1 as well. Fits all the symptoms of phlebitis.

 

You're all wrong! Amputate before it spreads!

 

I'm going to pull a "Price is Right" stunt here and pick a lower amount, just in case everyone else is wrong. I'll choose #2.

 

I vacillated between 1 and 2.

 

Well this one is total conjecture. What the nurse writes is purely down to the nurse, it could be a shopping list.

 

as TheSurgeOn, remind me never to call you for a medical procedure

 

You may smirk, but have you ever tried to do a double episiotomy on half a pound of mangos?