RN101
Home of the Registered Nurses (RN) and
Licensed Practical Nurses (LPN)

QUESTIONS

 

CASE I

Mrs. A is a 69-year-old resident in a long-term care facility who is very hesitant to get a flu vaccine. She states that she has been healthy and never been sick of flu before. You really want to help her understand the importance of flu vaccine without influencing her decision.

 

Question 1:

Explain to Mrs. A why it is important for her to get vaccinated against the flu? Identify two (2).

1.______________________________________________________________________________________________________________________________________________________.

2.______________________________________________________________________________________________________________________________________________________.

 

CASE II

A 12 years old male patient with asthma came to the clinic for regular checkup accompanied by his mother. 

PRESCRIBED MEDICATIONS:

Fluticasone (Flovent) 125 mcg 2 puffs.

Salbutamol (Ventolin) 0.4 ml in 3ml NS q2h by nebulisation.

Ipratropium bromide (Atrovent) 36 mcg 2 puffs.

 

Question 1:

The mother of the patient asked you why her child becomes more restless and won’t go to sleep, since they started the prescribed medications?

1._____________________________________________________________________________________________________________________________________________________.

Question 2:

She also asks, “I am concern with the effect of corticosteroids to my daughter’s growth”. What would be your response? Identify two (2).

1._____________________________________________________________________________________________________________________________________________________.

2._____________________________________________________________________________________________________________________________________________________.

 

CASE III

Mr. B is a black-American patient with asthma who seeks emergency care for acute respiratory distress.

 

Question 1:

Because of the patient's dark skin, where should you assess for cyanosis?

1._____________________________________________________________________________________________________________________________________________________.

 

CASE IV

Patient C comes to the emergency department with status asthmaticus. 

Progress Note: 2015/04/24 1300 Noted wheezing on auscultation. V/S taken as follows: RR-44, BP-140/90 mm Hg, P-104, T-98.4 F. ABG result shows pH-7.52, paCO2-30 mm Hg, HCO3 - 26 meq/L, PO2-77 mm Hg, -------------------------JBanusan_RN

 

Question 1:

Based on the documentation above, you suspect the patient has what abnormality?

1._____________________________________________________________________________________________________________________________________________________.

 

CASE V

Patient D 10 year-old accompanied by his mother has a new prescription of metered dose inhaler for Fluticasone (Flovent) 125 mcg 2 puffs.

 

Question 1: 

To prevent oral complications when using a metered dose inhaler, what should you instruct the patient and his mother?

1._____________________________________________________________________________________________________________________________________________________.