Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Lab > Midterm T7 > Flashcards

Midterm T7 Flashcards

1
Q

Tell tale sign for Type 1 Diabetes in children

a. dizziness
b. blurred vision
c. frequent urination
d. nausea?

A

c. frequent urination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Priority intervention for a child who had a seizure 4 weeks ago and has a history of something neurological?

a. call provider
b. 360 check
c. comfort mom
d. something else

A

b. 360 check bc of seizure precautions?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What scale do you use for someone who is sedated with propofol?

A

Richmond Agitation-Sedation Scale (RASS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Continous bubbling in the water chamber of a chest tube

A

bubbles can indicate a leak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

After giving skittles to a kid for low blood glucose, what do you give?

a. crackers and cheese
b. water
c. saturated and unsaturated fats

A

a. crackers and cheese

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

dosing for a bolus for peds

A

20ml/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

You perform the faces scale for a peds patient that is post laparoscopic appendectomy, they show an 8/10, what do you do?

a. morphine
b. Tylenol
c. albuterol sulfate
c. something else

A

a. morphine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What drug do you give first for pulseless v tach?

A

epi then amiodarone (anti-arrythmic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sorting question for what is indicated vs contraindicated for someone with a seizure

A

indicated: turn on side, suction, decrease stimulation, suction, oxygen

contraindicated: BP cuff, rubbing back to stop sezire, placing the patient in high fowlers, one more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What will help ensure an accurate reading of BP with an arterial line?

A

Maintaining the device stopcock at the phlebostatic axis will help ensure a proper reading

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

PICC line is not flushing SATA

A

b. Check for kinked or clamped line
c. Call provider if still not flushing
d. Change dressing
e. Another one i think

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what part of the rhythm is ventricular depolarization

A

QRS complex represents ventricular depolarization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Restraints SATA

A

a. Report how many times they go to the bathroom
b. Monitor circulation
c. Readiness for discontinuation
d. Check IV lines
e. Maybe something else

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the first thing you do if someone needs CPR?

A

compressions immediately, then get the pads on and then meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What pain assessment tool do we use in the critical care setting?

A

CPOT (Critical Care Pain Observation Tool)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What pain assessment tool do we use for sedation?

A

RASS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

For AFIB, when do you use medication vs cardioversion?

A

Stable = medications
Unstable = cardioversion

Blood pressure is the determining factor of stabilitiy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

If you have a patient in AFIB and their blood pressure still looks good, which medication are you going to give?

A

amniodarone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

If you have VFIB and VTACH without a pulse, what do you do?

A

first thing is chest compressions, then defibrilliation, then meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

wyd for asystole

A

epi and compressions, DONT SHOCK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

wyd for a STEMI

A

MONA: morphine, oxygen, nitro, asprin

(not in that order, nitro and asprin first and morphine last)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How many nitros can you give and how often?

A

you can give nitro 3 times every 5 minutes, for a total over 15 minutes

before each dose, retake bp and rate pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what does STEMI stand for?

A

ST elevated myocardial infarction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

When would we do vagal maneuvers vs medication?

A

vagal maneuvers when they are stable, if blood pressure is trending down then we would give medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How do you give adenosine?

A

stopcock method, tell patient they are going to feel funny for a second (bc it stops the heart)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Examples of vagal maneuvers

A

ice on face, blow in straw, take rectal temp for peds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

SVT med

A

adenosine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What causes high ventilator alarms?

A

biting on the tube, resistance, occlusion from secretions

29
Q

What causes low ventilator alarms?

A

leaks, deflated cuff, extubation

30
Q

Where is the best position for an arterial line to get the most accurate measurement of blood pressure?

A

phlebostatic axis, 4th intercostal space midaxillary line

31
Q

what is important to maintain with central lines?

A

sterility and patency

32
Q

What is the most common and preferred sedation drug?

A

propofol

33
Q

What is the preferred number for RASS scoring (generally)?

A

0 to -2

34
Q

What is the #1 thing a nurse must be assessing with restraint use?

A

circulation and skin integrity

35
Q

seizures nursing interventions

A

-turn on side
-dont put anything in their mouth
-time it
-pad rails
-loosen or remove tight clothing
-minimize stimulation
-call for help
-02
-make sure suction is working
-lorazepam or benzos

36
Q

what is the first drug we give in the cardiac arrest algorithm?

A

epi

37
Q

when is epi given?

A

for asystole and cardiac arrest

38
Q

hypoglycemia chief complaints

A

cold, clammy, shaking, dizzy, tachycardia, anxiety, hungry, irritable

CHILDREN = “i have a bad headache”!!!

39
Q

How do you treat hypoglycemia if they’re awake?

A

15 grams of fast-acting carbs (juice, dextrose) then complex carbs to maintain glucose and recheck sugar

40
Q

what do you give for RSV?

A

RSV is VIRAL not bacterial, you do not give antibiotic treatment

-supportive treatment: suction, oxygen, fluids

41
Q

asthma treatment

A

bronchodilators (albuterol), no antibiotics

42
Q

What is the first thing we do when a patient has trouble breathing?

A

sit them up

if its RSV or pt has congestion then suction before sitting up

43
Q

What fluid for dehydration do we use for peds?

A

0.9% NS

44
Q

Prevention of infection in the hospital setting

A

-hand hygiene
-scrub the hub
-foley care
-following precautions
-wear PPE appropriately
-don and doff appropriately

45
Q

patient comes in with symptoms of a heart attack- radiating arm pain, abd pain, etc) and you do MONA and they still have chest pain that is not resolving. What do they most likely have?

A

STEMI

46
Q

SATA interventions for RSV and bronchiolitis

A

a. encourage feeding Q4H?
b. suction
c. cluster care to allow for rest

NOT ANTIBIOTICS

47
Q

What would you tell a 12 year old who is asking why they nee d to count carbs

A

edu on long term effects of poor glucose control

48
Q

propofol MOA

A

inhibits GABA A receptors and causes rapid sedation

sedation med

49
Q

epinephrine MOA

A

acts on alpha-1 receptors and induces increased vascular smooth muscle contraction, pupillary dilator muscle contraction, and intestinal spinster muscle contraction

neurotransmitter/hormone (adrenaline)

50
Q

insulin MOA

A

promotes glycogen synthesis (glycogenesis) and inhibits gluconogenesis

51
Q

amniodarone MOA

A

blocks potassium ion channels (prolonging repolarization), sodium ion channels, and alpha and beta adrenergic receptors

antiarrythmic

52
Q

dopamine MOA

A

increases heart rate and cardiac contractility

catecholamine neurotransmitter/hormone

53
Q

heparin MOA

A

binds to and activates antithrombin III

antithrombotic, decreases clotting ability of blood

54
Q

nitroglycerin MOA

A

nitroglycerin converts to nitric oxide (NO) which converts guanosine triphosphate to guanosine

treats angina/chest pain

55
Q

albuterol MOA

A

acts on B2-adrenergic receptors, inducing bronchial smooth muscle relaxation

bronchodilator

56
Q

keppra (levetiracetam) MOA

A

antiepileptic/anticonvulsant

57
Q

potassium MOA

A

treats and prevents low potassium levels, treats high blood pressure, and prevents stroke

electrolyte

58
Q

adenosine MOA

A

slows conduction time through the AV node and can restore normal sinus rhythm in patients with SVT

59
Q

What do you do for SVT if the patient is stable with a good blood pressure?

What do you do if they are stable but their blood pressure is trending downwards?

What do you do if they are unstable?

A

stable w good bp: vagal maneuver

stable w decreasing bp: adensoine

unstable: cardiovert

60
Q

What is the difference between cardiovert and a defibrilator?

A

cardiovert uses less joules

61
Q

what is in a trach kit emergency kit?

A

2 trachs (1 normal size and a smaller size) + pulse + suction

62
Q

What is the first thing you do after suction?

A

re-assess

63
Q

never ____ through an art line

A

push meds

only draw blood and flush with normal saline

64
Q

How long do you have to clean a CL for? a peripheral line?

A

-30 seconds for a CL and 15 for a peripheral

65
Q

Why would a child get an enteral/g-tube?

A

bc they have failure to thrive

66
Q

palliative care vs hospice care

A

palliative = treatment of chronic condition and maintain quality of life

hospice = terminal illness and pain management

67
Q

insulin target glucose scale question

A

0.1 kg

67
Q

Many people live with chronic conditions, what type of care do they need?

A

palliative

Lab (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions