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Virginia Evans - Kori Salcido - RN

4U~

Express Publishing

Virginia Evans

Kori Salcido - R.N

~

Express Publishing

Published by Express Publishing

Liberty House, Greenham Business Park, Newbury,

This book is not meant to be changed in any way

ISBN 978-0-85777-839-0

Table of Contents

Answer Key 4

Audioscripts 12

8 2 Answer Key 14

Audioscripts 23

Answer Key 26

Audioscripts 36

Book Answer Key

1 There are many types of jobs that people working

in hospitals have From doctors and nurses to the

cleaning and waiting staff that are needed to

clean the public restrooms and run the hospital

They are most likely to take everyday orders from

them and have to undertake specific responsibilities

that doctors give them There are specific types of

nurses for more specialized tasks

You can pick up your medicine from Suzan Devlin,

the Pharmacist in room 129

1 nurse 3 radiologist 5 receptionist

2 x-ays 4 room number 6 hospital

8 Suggested Answer

A: Excuse me, Dr Johnson? Hi I'm Jane, I'm a new

nurse here

B: Hello, Jane, What can I do for you?

A: I have these blood test results for Dr Cho's

patient He wants Dr David to take a look at them

B: The pediatrician? He is on the second floor

somewhere

A: Do you happen to know the actual room number?

B: No but the nurse on the ward will

A: Okay This hospital is so confusing!

B: I know the feeling You'll get used to it

9 Suggested Answers

Name: Dr Jared Cho

Job Title: General Practitioner

Job Duties: General Medicine

Name: Dr Terry David

Job Title: Pediatrician

Job Duties: Children's Health

2 It seems to me that the emergency department needs nurses the most This might be because of the technical training that nurses need to be able

to deal with emergency situations Also, because

it is impossible to predict what type of service a patient who finds themselves in the emergency room will need, nurses need to be trained to deal with many different situations

A: Oh So where can I find obstetrics?

B: It's on the second now Next to pediatrics A: Oh good I don't want to miss my appointment with my obstetrician

B: Do you need directions to get there?

A: I think so

B: Take the stairs up to the second floor Obstetrics

is to the right

9 Suggested Answers

The obstetrics department has moved to the second

floor because of the construction project underway

in the hospital

To get there: take the stairs up to the second floor It

is next to the pediatrics department

Sorry for the inconvenience!

Unit 3

1 Suggested Answers

2

3

1 Different types of equipment can be found in a

hospital room For example, a call button, latex

gloves, syringes, and hospital gowns

2 A call button is pressed by a patient so that they

can alert a nurse to the fact that they need some

help Latex gloves are worn by doctors and

nurses in order to safely and hygienically handle

equipment, as well as to protect the patient and

care giver from infection Syringes are used in

order to remove fluid from a patient so that the

liquid can be tested Hospital gowns are worn by

patients on the ward or just after an operation

5 Nurses must make sure drawers are stocked with

latex gloves and gauze

6 get a new one

A: Alice, can you help me with something?

B: Sure! I know how hard it is to get used to things

on your first day!

A: Room 305 needs some clean gowns Where are

those?

B: In the first floor closet

A: Great Also, where can I refill an oxygen tank?

B: Don't refill them Just get a replacement tank on

the second floor Anything else?

A: Yeah The sharps container is full Should I dispose

of it?

B: Definitely And get a new one from room 102

9 Suggested Answer Location of clean gowns: first floor closet Where to refill oxygen tank: replacement tank,

second floor

What to do with sharps container: dispose of it and

get a replacement from room 102

2 A nurse treats injuries to the body by using firs

aid For external injuries, such as swelling or bleeding, the nurse uses bandages A nurse " also make an assessment of the condition of :ne patient by asking the patient questions

of external injuries such as swelling, bruises and bleeding Once this is done, they nurse feels for bumps on the arms, legs and extremities, if these are found they suggest an internal injury like a broken bone The legs must be lifted above the heart, in cases where the leg is swollen or the patient has fainted If there is a possibility that the patient has spinal injuries, it is essential that the nurse ensures the patient is not moved Finally, if there are any external injuries, such as cuts or bleeding, the nurse should apply first aid

A: Hi, Mr Harris What seems to be wrong?

B: I fell playing soccer My leg really hurts

A: I'm checking for a break Tell me if it hurts when I touch your leg

B: Okay Owl Right there

Answer Key 5

Book 1 Answer Key

A: Yeah, there's a bump and some swelling I'm going

to elevate your legs

B: My right shoulder hurts too Just below my neck

A: Yes, there is some swelling beginning to show Is

it too painful to move?

B: No I can move it But it hurts when I do

9 Suggested Answer

Patient name: Mr Harris

Cause of injury: Fell down playing soccer

Notes on Physical Assessment: Checked for a

break, I noticed a bump and some swelling and a

bruise so I have elevated his leg

1 Donating blood is important because it saves

people's lives It is used in operations and

transfusions

2 Donating and receiving blood can be made safer

by using disposable syringes and bags to store

the blood

1 clots, platelets

2 bleeding universal donor

3 plasma red blood cells

D 2 A 3 B 4 C 5 E

5 Suggested Answer

6

The most important blood type is TYPE O This is

because this blood type is compatible with all others

and therefore can be used by anyone

A: Thanks for coming to the blood drive Mr Fisher Is

this your first time donating?

B: It's not actually I've actually donated blood before

A: That's great! And I see on your files that you have

TYPE 0 blood

B: Yes, that's right Does it matter?

A: Actually, its very good as it means that you're a

universal donor

B: So my blood type is compatible with everyone?

6 Answer Key

A: Exactly, you can donate to any blood type A, B,

AB - it doesn't matter But unfortunately, you can receive only your own blood type

B: Well, hopefully I'll never need to!

9 Suggested Answer Blood Donor Name: Mr Fisher Blood Type: 0 Blood type Universal Donor? Yes Donated Before? Yes Patient Questions/Concerns: Patient wanted to

know who he can donate his blood to

Unit 6

1 Suggested Answers

1 A person's circulatory system functions to circulate blood around the body It delivers oxygen which is vital to life and to every organ in the body

2 The types of problems that people experience related to their circulatory system are linked to the blocking up of the tubes through which the heart pumps blood

B: What do they say?

A: Well, we're detecting an arrhythmia

B: Oh really Could you explain what that means?

A: It means that your heart isn't pumping blood

through the atria properly, which might make it

beat abnormally

B: Is there any treatment for this?

A: Yes There are various treatment options We're

going to start you on medication for now Luckily,

this form of arrhythmia isn't too serious

B: Well, that's a huge relief

9 Suggested Answer

Patient Name: George

Test Results: Detecting an arrhythmia

Seriousness: Not very serious

Treatment Plan: Start the patient on medication and

see how they respond

1 The respiratory system delivers oxygen to the

lungs through the bronchial tubes and removes

toxic carbon dioxide

2 Common problems include asthma and lung

cancer often caused by smoking

There are various conditions which can be attributed

to smoking including emphysema, which destroys the

alveoli and lung cancer

F 2 T 3 F

1 questions 3 lung cancer 5 lungs

2 smoking 4 asthma 6 think about

8 Suggested Answer

A: Hi, Mrs Smith I have a few questions before the

doctor sees you Are you still smoking?

B: Yes, but not very much

A: Still, you need to quit You understand the risks

B: I know And I don't want my kids getting it But

quitting is really hard

A: It also helps heal the damage to your lungs and bronchial tubes

B: Well, I'll think about it

9 Suggested Answer Dangers of smoking: lung cancer emphysema, and those around you developing asthma

Benefits of quitting: heals damage to the lungs and bronchial tubes

7 1 feeling 3 ulcer 5 co!onoscopy

2 stomach 4 appendicitis 6 intestine

8 Suggested Answer

A: Are you feeling any better Sally?

B: The same I still have the stomach pain as before A: I'm sorry to hear that

B: Does the doctor know what's wrong yet?

A: Well, he doesn't think its an ulcer He believes you

might have appendicitis though

B: Really? Isn't that really serious?

A: It can be but its unlikely in your case He's also recommending a colonoscopy to make sure there's nothing wrong with your colon or intestines Is that okay with you?

B: Yes I'm willing to do whatever it takes

8 Suggested Answer Pati ent name: Sally

Reason for visit: The patient is experiencing stomach

pains

Answer Key 7

Book 1 Answer Key

Examination notes: After examining the patient I find

that it is a possible case of appendicitis

Recommendations for treatment: I am ordering a

1 During physical assessments nurses look for

abnormalities on the skin and body, they check

for pain in the abdomen and check the patients

pulse

2 It is hard to find any asymptomatic diseases and

so nurses often also order blood tests

A physical examination would not be conducted

when the patient does not give their consent

B: I'm alright But there's a dull ache in my side

A: Okay Good thing you're getting a physical exam

then Do I have your consent?

B: Sure

A: First, let me finish the demographic data What's

your age?

B: I'm 40 years old

A: Great Next up is palpation of the area I'm going

to touch your stomach and side Just tell me

when it hurts

B: Okay Yeah, it hurts right there Right below my

ribs

9 Suggested Answer

Physical Assessment form

Patient Name: Mr Richards

2 It is important to recognize symptoms early because doing so might help prevent patients getting worse It is also a good indicator if something else is wrong, which is perhaps more serious

1 sore throat 3 stuffy nose 5 aches

B: No, not yet I do have a headache

A: Are you feeling tired? Any aches or pains? B: Yeah, I'm really tired And I feel hot

A: That's likely a fever Henry, it sounds like you may have the flu

B: Oh, really? I was hoping it was just a cold

9 Suggested Answer Patient Report Patient Name: Henry Symptoms: aches and pains, headache, stuffy throat,

2 Nurses need to understand people's pain because

it indicates what is wrong

2 A 2 A 3 B

3 1 unbearable 3 burning 5 intermittent

2 shooting 4 throbbing 6 sharp

4 1 constant 3 distress 5 impact

2 excruciating 4 intensity

5 Suggested Answer

An occasionally stabbing pain might also be

described as an intermittent sharp pain

7 1 pain 3 unbearable 5 to lift

8 Suggested Answer

A: We need to fill out this pain assessment sheet,

okay, Karen? Now where are you feeling pain?

B: In my shoulder It's worse when strech or lift

something

A: I see How much does it hurt?

B: Pretty bad It can be excruciating

A: And when did the pain start?

B: When I was doing some gardening yesterday

A: And is the pain there all the time, or just

sometimes?

B: It comes and goes

9 Suggested Answer

Patient Name: Karen

Describe the location of the pain: in the shoulder

What causes or increases the pain? stretching or

1 Some common medications that people take are

antihistamines, anti-inflammatories, painkillers, and

antibiotics

2 The benefits of medication are that they combat

the symptoms of the illness and decrease

discomfort The disadvantages of medication are

that often it does not deal with the root cause of

the problem

2

Name Medication, Dose, Times

Frank Cline sedative (25mg) at 9 pm Ted Hurst antihistamines (250mg) at 10 am and

2 pm Jack Singer antidepressant (1l5mg) daily at 9 am

7 1 patient medication 3 it's time 5 s irT' a:-:5

8 Suggested Answer

A: Hi, Marcus Do you have the patient meCICal c~ list?

B: Yeah Here you go

A: Thanks Looks like it's time to give Ms Neil her medication

B: Erica Neil? But it's only l am

A: Exactly It says he needs her first dose oantibiotics

B: But Ms Neil is on anti-inflammatories Kate Ford receives antibiotics

A: Uh oh There must be a mix-up on the list

B: That's not good Let's change that immediately

2 A licensed practical nurse's most important responsibility is to provide patients with the correct care

Answer Key 9

Book Answer Key

The responsibilities of a LPN are to ensure smooth

and efficient patient flow, to help doctors and provide

bedside care to patients, collect and deliver samples

for labs and complete administrative tasks, including

completing re-orders of supplies

A: I see You do have a license correct?

B: I do And several years of experience

A: Oh, that's right You're working at University

Hospital now?

B: Yes But they are reducing everyone's hours

A: I understand So, what do you think the most

important LPN responsibility is?

B: Definitely bedside care That's how you catch

small problems before they become big ones

9 Suggested Answer

MERCY HEART HOSPITAL INTERVIEW NOTES

Applicant: John Smith

Employed: Yes at University Hospital

Most important responsibility: bedside care

1 The challenges of being a registered nurse

involve getting the required qualifications, the

trouble is the degree programs are rare and

licensure exams are difficult to pass

2 The steps to becoming a registered nurse involve

studying to get an advanced degree and

becoming board certified

1 0 Answer Key

It is necessary that the nurse first obtain an associate degree or bachelor's degree, others complete a hospital based diploma program

B: Well, we certainly need some help here

A: That's true, our nurses are doing a lot of overtime B: I know But there just aren't enough licensed nurses for each shift

A: I say we make the licensure exam easier to pass B: But the exam makes sure nurses are ready to work with patients

A: I suppose What do you think the best solution is? B: Why don't we start a diploma program right here

in our own hospital?

9 Suggested Answer lONGMAN HOSPITAL

Dr Jones,

We have a serious shortage of registered nurses at our hospital That means that our nurses are doing too much overtime and are overworked, this could lead to them making errors I suggest that we begin

a diploma program here in the hospital

Sincerely, Nurse Leslie

Unit 15

1 Nurse practitioners perform a variety of tasks They conduct physical exams and diagnose illnesses They also prescribe treatment and provide immunizations for children and often they also provide counseling services

2 Nurse practitioners must hold advanced degrees and be board certified

A patient can avoid a long wait at the GP surgery by

making an appointment to see a Nurse Practitioner

instead of the Doctor

A: Thanks for agreeing to an interview I know you

nurse practitioners get busy

B: It's my pleasure

A: So what kind of services do you provide?

B: Well, I conduct physical exams and diagnose

illnesses I also perform immunizations for children

and offer counseling

A: What patients do you have today?

B: My next patient has a sporting injury I'm giving him

physical therapy

A: Are there any limits to the care you provide?

B: Well, I don't perform surgery and I don't prescribe

medication

9 Suggested Answer

Article about NPs

Services Provided:

Conducts physical exams

Performs immunizations for children

Offers counseling

Limits to care:

Does not perform surgery

Does not prescribe medication

Answer Key 11

Audioscripts

Unit 1

Nurse (M): Excuse me, Dr Beverly? Hi I'm Mark I'm a

new nurse here

Obstetrician (F): Hey, Mark What can I do for you?

Nurse: I have these x-rays for Dr Cho's patient He wants

Dr Fabrizzio to take a look at them

Obstetrician: The radiologist? He's on the first floor

somewhere

Nurse: Do you happen to know the actual room number?

Obstetrician: No, but the receptionist in the lobby will

Nurse: Okay This hospital is so confusing!

Obstetrician: I know the feeling You'll get used to it

Unit 2

Patient (M): Excuse me, nurse? This is the cardiology

department, isn't it?

Nurse (F): Well, usually it is But the hospital is under

construction right now, so some departments are in

different places

Patient: Oh So where can I find cardiology?

Nurse: It's in the basement now Across from radiology

and pathology

Patient: Oh, good I don't want to miss my appointment

with my cardiologist

Nurse: Do you need directions to get there?

Patient: I think so

Nurse: Take the elevator down to the basement level

Cardiology is to the right

Unit 3

Nurse 1 (M): Becky, can you help me with something?

Nurse 2 (F): Sure! I know how hard it is to find things on

your first day

Nurse 1: Room 415 needs some clean gowns Where are

those?

Nurse 2: In the first floor closet

Nurse 1: Great Also, where can I refill an oxygen tank?

Nurse 2: Don't refill them Just get a replacement tank on

the second floor Anything else?

Nurse 1: Yeah The sharps container is full Should I dispose

of it?

Nurse 2: Definitely And get a new one from room 102

Unit4

Nurse (F): Hi, Mr Reynolds What seems to be wrong?

Patient (M): I fell down the stairs My leg really hurts

Nurse: I'm checking for a break Tell me if it hurts when I

touch your leg

Patient: Okay Owl Right there

Nurse: Yeah, there's a bump and some swelling I'm going

to elevate your legs

Patient: My arm hurts, too Just above the wrist

12 Answer Key

Nurse: Yes, there's a bruise forming Is it too sore to move? Patient: No, I can move it But it hurts when I do

Unit 5 Nurse (F): Thanks for coming to the blood drive Mr Fisher

Is this your first time donating?

Blood Donor (M): It is I'm actually a little nervous! Nurse: Don't worry It doesn't hurt at all And I see on your file that you have Type 0 blood?

Blood Donor: Yes, that's right Does it matter?

Nurse: Actually, it's great news You're a universal donor Blood Donor: So my blood is compatible with everyone? Nurse: Exactly Type A, B, AB - it doesn't matter But unfortunately, you can receive only your own blood type

Blood Donor: Well, hopefully I'll never need to!

Unit 6 Nurse (F): Good afternoon, Fred I have your test results back

Patient (M): What do they say?

Nurse: Well, we're detecting an arrhythmia

Patient: Oh What exactly does that mean?

Nurse: It means that your heart valves aren't pumpihg blood through the atria properly

Patient: Is there any treatment for this?

Nurse: Yes We're going to start you on medication and see how it goes Luckily, this form of arrhythmia isn't too serious

Patient: Well, that's comforting to hear

Unit 7 Nurse (M): Hi Mrs Blake I have a few questions before the doctor sees you Are you still smoking?

Patient (F): Yes, but not very much

Nurse: Still, you need to quit You understand the risks, don't you?

Patient: Of course I know it causes lung cancer Nurse: Yes Plus, people around you are at risk of developing asthma

Patient: I know And I don't want my kids getting it But quitting is really hard

Nurse: It also helps heal the damage to your lungs and bronchial tubes

Patient: Well, I'll think about it

UnitS Nurse (M): How are you feeling, Virginia?

Patient (F): The same I still have the stomach pain as before

Nurse: I'm sorry to hear that

Patient: Does the doctor know what's wrong yet?

Nurse: Well, he doesn't think it's an ulcer He believes you

might have appendicitis, though

Patient: Really? Isn't that deadly sometimes?

Nurse: Very rarely He's also recommending a colonoscopy

to make sure there's nothing wrong with your colon or

intestine Is that okay with you?

Patient: Yes I'm willing to do whatever it takes

Unit 9

Nurse (F): Good morning, Mr Johnson How are you

feeling today?

Patient (M): I'm alright But there's a dull ache in my side

Nurse: Okay Good thing you're getting a physical exam

then Do I have your consent?

Patient: Sure

Nurse: First, let me finish the demographic data What's

your age?

Patient: I'm 62 years old

Nurse: Great Next up is palpation of the abdomen I'm

going to touch your stomach Just tell me when it hurts

Patient: Okay Yeah, it hurts there Right below my ribs

Unit 10

Nurse (F): Good morning, Mr Thompson Sorry you're not

feeling well What are your symptoms?

Patient (M): Well, I've got a sore throat and I keep coughing

Nurse: Any sneezing? Or a stuffy nose?

Patient: No, not yet at least I do have a headache

Nurse: Are you feeling tired? Any aches or pains?

Patient: Yeah, I'm exhausted And I feel really hot

Nurse: That's likely a fever Mr Thompson, it sounds like

you may have the flu

Patient: Oh, really? I was hoping it was just a cold

Unit 11

Nurse (F): We need to fill out this pain assessment sheet,

okay, Brad? Now, where are you feeling pain?

Patient (M): In my back, just below my shoulders It's

worse when I'm bending over or lifting something

Nurse: I see How much does it hurt?

Patient: Pretty bad It's almost unbearable

Nurse: And when did the pain start?

Patient: After I tried to lift a heavy box yesterday

Nurse: And is the pain there all the time, or just sometimes?

Patient: It's pretty much constant

Nurse 2: Ted Hurst? But it's only 10 am

Nurse 1: Exactly It says he needs his first dose of

antihistamines

Nurse 2: But Mr Hurst receives stimulants Tim Hunt

needs the antihistamines

Nurse 1: Uh oh There must be a mix-up on the list

Nurse 2: That's not good Let's change that immediately

Interviewer: I see You do have a license, correct?

Nurse: I do And several years of experience

Interviewer: Oh, that's right You're working at Univers "

Hospital now?

Nurse: Yes But they're reducing everyone's hours

Interviewer: I understand So, what do you think e 'T)05:

important LPN responsibility is?

Nurse: Definitely bedside care That's how you catc"!

small problems before they become big ones

Unit 14

Nurse 1 (M): This newspaper article makes the nursing

shortage sound pretty bad

Nurse 2 (F): Well, we certainly need some help here

Nurse 1: That's true Our nurses are really overworked

Nurse 2: I know But there just aren't enough licensed

nurses for each shift

Nurse 1: I say we make the licensure exam easier to pass

Nurse 2: But the exam makes sure nurses are ready to

work with patients

Nurse 1: I suppose What do you think the best solution is?

Nurse 2: Why don't we start a diploma program right here

in our own hospital?

Unit lS

Interviewer (M): Thanks for agreeing to an interview I

know you nurse practitioners get busy

NP (F): It's my pleasure

Interviewer: So, what kind of services do you provide?

NP: Lots I conduct physical exams and perform immunizations for children I also offer counseling

Interviewer: What patients do you have today?

NP: My next patient has an injury from a car accident I'm

giving him physical therapy

Interviewer: Are there any limits to the care you provide?

NP: Well, I don't perform surgery But I do diaglilose illnesses

Answer Key 13

Book 2 Answer Key

1 Our eating habits dramatically affect our lives

Medical experts tell us that a healthy diet is key to

our long-term health and wellbeing A balanced diet

which contains many fruits and vegetables, proteins

and carbohydrates gives us the energy our body

needs On the other hand, a bad diet is based

mainly on foods with a high fat and sugar content

These types of foods give us an instant energy

boost but do not provide us with any of the

nutrients that we need Because of this, in the

long-term, an unhealthy diet can destroy our health and

make us tired and over-weight

2 Nurses can help their patients to get proper nutrition

by spending time advising them on how they can

improve on their current eating habits Most people

don't know what to eat and how important it is to

eat at regular times of the day Nurses can also

explain to their patients the risks of a bad diet in

the long-term, and how without changes, a poor

diet can lead to diabetes and even heart disease

The flyer tells us that carbohydrates and fats should

not be eaten in excess, as well as high fructose corn

s rup, which studies have found to link to obesity in

A: John, before we finish your checkup, there's

something we should discuss

B: What's that?

A: Your weight gain You understand that there are

risks of obesity, don't you?

B: I do, yeah I know my weight is getting out of hand

A: You need to change your diet drastically and

exercise more

14 Answer Key

B: I know But I get tired so easily

A: Changing your diet will help with that Add some proteins and B vitamins Your muscles will recover faster

B: Oh, thanks Are there certain foods that I should eat more of?

A: Well, poultry has both But you'll also need to cut out the bad stuff You also need to add a lot more fruits and vegetables to every meal A good tip is

to make sure that you have a good breakfast of cereal with milk or fruits and nuts with yogurt B: Ok, I will try to change my habits but it will be hard A: Well, you have to make these changes if you want

to lose the weight

A: Ok, well I will start from today!

9 Suggested Answers Patient: Mr Roger Feltz

Nurse: Sally

Consume more: Fruits, vegetables, lean meats, carbohydrates

Consume less/fewer: Sugars, corn syrup, fats

This will: Help the patient to lose weight

2 Nurses can help patients to use proper hygiene

by ensuring that all public areas in the hospital have been cleaned using disinfectant Also they can remind patients and visitors to wash their hands when they get into the hospital and at regular intervals, preferably with antimicrobial soap

or gel Also, nurses need to make sure that all equipment that they use has been sterilized, and that they change patients' bandages regularly,

cleaning any cuts or wounds with antibiotic fluid

8 Suggested Answer

A: How is it going today, Andrew?

B: Actually I think I'm sick Some type of virus has

been going around

A: Really, well how are you feeling?

B: I have been sweating a lot and have a fever My

stomach has also been cramping

A: It sounds like you do have a virus Is anyone else

in your family sick?

B: No, not yet, and I don't want them to get sick

either

A: Of course not The best thing you can do is make

sure you wash your hands often

B: Oh, of course

A: Oh and if you are not using antimicrobial soap, it'll

be worth buying some

B: I will pick some up from the pharmacy on my way

home It is still ok for me to cook for my family,

right?

A: Well, be careful Definitely use a good disinfectant

before and after you're in the kitchen

B: I don't have any of that so I guess I will need to

pick some of that up too!

9 Suggested Answers

Patient: Andrew Jones

Nurse: Lucy

Patient Complaint: Sweating, fever, stomach cramps

Condition! Diagnosis: He has a virus

Recommendations: Antimicrobial soap for the hands

and disinfectant around the house to avoid virus

spreading to other members of the family

Unit 3

1 Suggested Answers

2

1 Firstly, the nurse needs to ensure that the patient's

records are up-to-date That the medication which

has been prescribed by the doctor has been

recently checked Next, they need to carefully

examine the dosage recommended; giving too

much or too little medication can be dangerous

Also, the nurse needs to be extra careful to check

the name of the patient and that the medication

is being given to the right person

2 It is important to double check the doctor's orders

to avoid any errors

3 side effects 7 countersign

4 intramuscular administration

3 route of administration bracelet

5 A time check is important to avoid accidental overdose

A: Hey Jon How's your first day going so far?

B: Pretty good actually Did you still want to double check my work?

A: I should I see that the Head Nurse has already put her signature to your completed tasks

B: Yes, I made sure that I cross checked the information I had with her because heparin is a high risk medicine

A: Excellent Now did you check the D a~ i e :s

identification bracelet?

B: Of course

A: Good How about the dosage, are you sure you

have the right one?

B: Yeah, the dosage is 20 units and I have checked the date, it doesn't expire until next year

A: Great, now let's talk about the tasks that cannot be left incomplete Do these before you have finished with this patient's medication It is important that you follow these procedures exactly

B: Ok, I will be sure to do that, now that I know how important it is

A: That's good to hear Don't forget to give patients all the information they need, you need to tell them about the side effects medication can have too

B: Ok, I will

8 Suggested Answers Nurse being evaluated: Jon

Did nurse:

Crosscheck with Head Nurse Y IN: Y

Confirm medication expiration Y!N: Y

Notes: Jon understands the importance of following procedures exactly

Answer Key 1 5

Book 2 Answer Key

2 Nurses help doctors learn about their patients by

having patients fill out an admission form and by

asking them questions

The patient should not be given penicillin

A: Good afternoon, Steve How are you feeling?

B : Not very well

A: I ' m sorry to hear that We need to fill out this patient

i nformation form before we treat you, though, okay?

B : Okay That's fine

A: All right First, tell me a little more about how

A: That ' s good Next I need some information about

your past?

B : Yes I had my appendix out when I was ten I also

broke both my arms when I was 15

A: Okay Do you have any allergies to medication?

B: Yes I'm allergic to penicillin

9 Suggested Answers

Patient Name: Steve Smith

Date of Birth: 03 / 09

Marital Status: Single

Chief Complaint: Stomach pain and diarrhea

Medical History: Patient had appendix removed when

he was ten and broke both arms when he was 15

Allergies: Penicillin

Unit 5

16

1 Suggested Answers

1 By monitoring vital signs doctors and nurses can

see fhen there is a change in their pat i e nt ' s

condition and can act accordingly

B: Yeah, she had a fever of 103 when she came in

A: That's great news And her blood pressure? B: It's stabilized in the last few hours She's responding really well to her treatment

A: Fantastic It sounds like she'll be going home soon

B: I just wish I could say the same for Mr Burns

9 Suggested Answers PATIENT CONDITION CHECK Patient: Mr George Burns

ID Number: 9835 Sex: Male

Room: 441B

Primary Physician: Dr James May

Attending Nurse: Simone Perry

Exam Performed By: Simone Perry

Patient Condition: Serious

Patient Vital Signs: Body Temperature: 103 degrees Fahreneit

Blood Pressure: 135 systolic / 96 diastolic

Heart Rate: 124 beats per minute (resting rate)

Respiration: Frequently exhibiting apnea

Notes: Patient may need assistance of respirator

1 In the case of an emergency it is very important to

take the following steps Firstly, you must check that

the injured person is responsive, ask them basic

questions like their name, age, and where they were

born Their responses will indicate whether they are

alert or if they have suffered a serious accident If

the person is not responsive, check their breathing

and their pulse If you cannot tell whether they are

breathing and you cannot find a pulse, you must

perform CPR (cardiopulmonary resuscitation)

2 Nurses see all kinds of injuries in emergency

rooms and need to be prepared Most often

patients are brought into the emergency room

because they have suffered a heart attack or

have been involved in a car accident

Someone who is in shock should have their feet

elevated and be covered with a blanket Once this

has been done it is important to alert a medical

professional to their situation

A: Hello, ma'am Don't worry, everything's going to be

okay VVhat happened?

B: There was an accident at work A car caught fire

behind me

A: Okay, where are you injured?

B: My leg hurts pretty badly I think it's burned

A: I can see, it doesn't look that serious though and

I don't think it will leave a big scar

B: Really? How can you tell?

A: VVell, it's blistering, and that's a good sign It means it's probably not a third degree burn

B: Oh, that's good news It still really hurts though A: Of course I will get you an icepack and some cream to put on it It should cool your skin down

B: Thanks, I also cut my arm as we were trying to put the fire out

A: Okay, we just need to sterilize it and get a bandage over it

B: All right Thank you very much

9 Suggested Answers Emergency room patient notes Nurse: Martin

Patient: Mrs O'Sullivan

Injury: Burns

How injury occurred: At work

Treatment administered: Icepack and cream to COO l the skin down

1 Nurses treat wounds by regularly disinfec 9 ne

effected area, firstly with a gentle soap and :vater

and often with saline solution, which is better on

tender skin It is important that the wound does not

get infected A bit of antiseptic ointment is then gently brushed onto the wound Then the nurse needs to dress the wound using gauze or bandages

2 The consequence of poor wound care is that the area can get contaminated because it has not been cleaned properly, this can lead to a serious infection, which can lead to more serious conditions

A: How are you feeling this morning, Tom?

B: Oh, not too bad My leg still hurts a bit, but the morphine is helping

Answer Key 17

Book 2 Answer Key

A: That's good I need to check your wound again,

okay?

B: All right Go ahead

A: Hmm It seems like its getting a bit worse

B: Really, what's it iook like?

A: Your skin is really pale and cracked under the

bandage

B: What does that mean?

A: I think you've got a bit of desiccation from your

skin being too dry We need to get some cream

or it will not heal

B: Yeah, it has been feeling a little dry, but I thought

that was normal

A: Unfortunately, it's not I will go and get the Head

Nurse and see if he agrees with me I will be right

back with him

B: Okay, thanks

Patient: Tom

Injury: Leg wound

Condition of injury: A bit of desiccation from skin

being too dry

1 Doctors test people for all sorts of health problems

For example, a doctor will order a general blood

test, which will highlight any particular deficiencies

or abnormalities in the function of the main organs

of the body

2 Doctors perform sight tests, hearing tests, and

reflex tests on their patients to get a general

overview of their health

1 decrease 4 urine 7 BUN test

The patient's lack of energy and lack of appetite

indicate a problem with renal function

B: Great Well what do the results say?

A: Well, according to the GFR test, your GFR level is

69

B: Is that bad?

A: It's a little below the normal range But it is still a pretty good rating

B: I guess that that's good news, right?

A: It is But according to the BUN test, your BUN level is rather high But we are still not completely certain what's causing that

B: Oh, so what happens next?

A: Well, the doctor has ordered a biopsy That should help us out to understand what is going on

Kidney Test Results Patient Name: Mr Grant GFR Results: GFR level 69 BUN Results: Quite high Further Testing Needed: YES

Next Procedure: Biopsy ordered DatelTime of Procedure: Thursday 12th/ 3 pm Unit9

1 Suggested Answers

1 Nurses and doctors need to consider whether there are any risks with discharging a patient They must also consider whether the patient is able to look after themselves enough to get by For instance, to wash, get up and down the stairs, prepare their food and take their medication, also

to clean and disinfect their own wounds if necessary A nurse or doctor may also consider what help the patient will have available to them For example, whether a nurse should visit them at home to see how they are getting on, or if relatives or friends living with them can make sure that everything is getting done properly

2 Doctors and nurses must plan discharges carefully, so that the patient has everything they need They should have all their medication as well as information about their recovery and what

to be careful of

2 1 F 2 T 3 T

The patient will have a follow-up visit with his primary

care doctor in 2 weeks time

7 1 looking forward 4 coverage

2 discharge 5 hospital aids

3 home 6 look out for that

8 Suggested Answer

A: Hi Josh How are you feeling today?

B: Much better and I am looking forward to going

home

A: That's good to hear! I just need to discuss some

details of the discharge process with you

B: Sure

A: We're sending you home with a nebulizer Do you

know how to use it?

B: No, is it difficult?

A: No not at all I can show you how to work it, its

easy Now, we need to discuss your coverage

B: I am sure that my health insurance covers

everything

A: Well almost It only covers 60 per cent of hospital

aids You will get a bill for the remaining amount

I expect it will be sent by mail

B: Okay, I will look out for that

9 Suggested Answers

Patient Name: Josh

Aids patient will receive to take home: A nebulizer

Coverage for hospital visit: 100%

Coverage for hospital aids: 60 %

Transportation details: Patient's daughter will pick

patient up at 3:00 at the west wing entrance

Unit 10

1 Suggested Answers

1 Some signs of pregnancy include: missed periods,

backache, fatigue, frequent urination and nausea

(morning sickness) Some signs of labor include:

lightening, water breaks, consistent contractions

2 A maternity nurse can help a pregnant woman

prepare for labor by explaining the stages of labor,

so that the expectant mother can recognize when

she has gone into labor and when she should go

Book 2 Answer Key

to the hospital Also, a maternity nurse can show their patients how to care for their baby properly

in the first few days

7 1 can I help 4 frequent

2 contractions 5 not actually in labor

3 water broke 6 OB Triage

8 Suggested Answer

A: OB Triage unit How can I help you?

B: Hi, this is Trudy Richards I'm experie c '19 s e contractions I think I might be in labor

A: Okay, stay calm Have you noticed an increase in discharge or any bloody show?

B: Oh, so should I come to the hospital now?

A: Not just yet Continue the fetal movement counts If the contractions increase in strength and frequency

make sure you come to the OB Triage unit

9 Suggested Answers

OB Triage Records Caller name: Trudy Richards

Problem: Experiencing contractions

Signs: Bloody show? N

Water broke? N

More frequent contractions? N

Advice given: Continue fetal counts, if they increase

in strength and frequency, she should come to the unit