Everything

Question 1

DO NOT delegate what you can EAT!

Answer 1

E - evaluate
A - assess
T - teach

Question 2

addisons= down, down down up down
cushings= up up up down up

Answer 2

addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia

cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia

Question 3

EleVate Veins; dAngle Arteries for better perfusion

Question 4

APGAR

Answer 4

A= appearance (color all pink, pink and blue, blue [pale])
P= pulse (>100, < 100, absent)
G= grimace (cough, grimace, no response)
A= activity (flexed, flaccid, limp)
R= respirations (strong cry, weak cry, absent)

Question 5

AIRBORNE

Answer 5

MTV=Airborne
Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
Private Room - negative pressure with 6-12 air exchanges/hr
Mask, N95 for TB

Question 6

DROPLET

Answer 6

think of SPIDERMAN!
S - sepsis
S - scarlet fever
S - streptococcal pharyngitis
P - parvovirus B19
P - pneumonia
P - pertussis
I - influenza
D - diptheria (pharyngeal)
E - epiglottitis
R - rubella
M - mumps
M - meningitis
M - mycoplasma or meningeal pneumonia
An - Adenovirus
Private Room or cohort
Mask

Question 7

CONTACT PRECAUTION

Answer 7

MRS.WEE
M - multidrug resistant organism
R - respiratory infection
S - skin infections *
W - wound infxn
E - enteric infxn - clostridium difficile
E - eye infxn - conjunctivitis

SKIN INFECTIONS VCHIPS
V - varicella zoster
C - cutaneous diphtheria
H - herpez simplex
I - impetigo
P - pediculosis
S - scabies

Question 8

Air/Pulmonary Embolism

Answer 8

S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) –> turn pt to left side and lower the head of the bed.

Question 9

Woman in Labor w/ Un-reassuring FHR

Answer 9

(late decels, decreased variability, fetal bradycardia, etc) –> turn on left side (and give O2, stop Pitocin, increase IV fluids)

Question 10

Tube Feeding w/ Decreased LOC

Answer 10

-> position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)

Question 11

During Epidural Puncture

Answer 11

side-lying

Question 12

After Lumbar Puncture (and also oil-based Myelogram

Answer 12

pt lies in flat supine (to prevent headache and leaking of CSF)

Question 13

Pt w/ Heat Stroke

Answer 13

lie flat w/ legs elevated

Question 14

During Continuous Bladder Irrigation (CBI)

Answer 14

catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.

Question 15

After Myringotomy

Answer 15

position on side of affected ear after surgery (allows drainage of secretions)

Question 16

After Cataract Surgery

Answer 16

pt will sleep on unaffected side with a night shield for 1-4 weeks.

Question 17

After Thyroidectomy

Answer 17

low or semi-Fowler’s, support head, neck and shoulders.

Question 18

Infant w/ Spina Bifida

Answer 18

position prone (on abdomen) so that sac does not rupture

Question 19

Buck’s Traction (skin traction)

Answer 19

elevate foot of bed for counter-traction

Question 20

After Total Hip Replacement

Answer 20

don’t sleep on operated side, don’t flex hip more than 45- 60 degrees, don’t elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.

Question 21

Prolapsed Cord

Answer 21

knee-chest position or Trendelenburg