Need To Know

Question 1

Priority Nursing

Answer 1

O2, Immuno-compromised, Bleeding, Safety, Infection

Question 2

HIPAA

Answer 2

Health Insurance Portability and accountability Act

Question 3

Delegating to UAP or Aide

Answer 3

Baths, ambulation, Routine tasks, DONT require Critical thinking

Question 4

Float Nurse

Answer 4

DO NOT: Assess, Plan, evaluate, no specialized care (beyond Knowledge) assign age appropriate clients

Question 5

Evacuating Patients

Answer 5

Ambulatory the bedridden then critical care

Question 6

Triage Methods

Answer 6

Trauma (Breathing,Bleeding,Broken, Burns) and Cardiac, then ICP then infection (fever) then GI and Glucose then elimination

Question 7

Medication Rights (8)

Answer 7

Right: Client, Drug, Dosage, Time, Route and also Rationale, Documentation and pt Refusal

Question 8

Negative Room Pressure

Answer 8

Keeps Patient infection in room

Question 9

Positive Room Pressure

Answer 9

Keeps Patient protected from Germs, Infection

Question 10

MRSA - Hospital acquired

Answer 10

Methicillin Resistant Staph Aureus Requires Gown, gloves, goggles and mask if respiratory Tx : Tetracycline and Bactrm

Question 11

C.Difficle (usually Hosp acquired)

Answer 11

DT too many antibiotics = abd cramps foul Diarrheaa

Question 12

Room assignments

Answer 12

Watching for Radiation tx, Infection/Isolation, Safety (sex of pt) and Pt developmental age

Question 13

G&D Infancy

Answer 13

1-3 mos = Recliner, 3-6 Sitter upper, 6-9 Bouncer-Crawler, 9-12 Crawler-Cruiser

Question 14

Toddler

Answer 14

1 - 3 Years Autonomy Vs Shame & Doubt Parallel Play

Question 15

Preschooler

Answer 15

3 - 6 Years Initiative Vs Guilt Cooperative Play

Question 16

School Age

Answer 16

6 - 12 Years Industry Vs Inferiority,

Question 17

Adolescent

Answer 17

12 - 18 Years, Peers! Identity Vs Role Confusion

Question 18

Rt CVA - Left Sided Effects

Answer 18

Strong side always leads…

Question 19

Most “Inclusive” answer

Answer 19

Lean towards those if not sure

Question 20

Normal Heart Rate Adult

Answer 20

60 - 100 bpm (5-6 Lt/Min), Resp 12 - 18

Question 21

Normal Heart Rate Neonate

Answer 21

140 bpm, Resp 40

Question 22

Dx Testing of Patient (ACT NOW)

Answer 22

Allergies, Consent, Teach, NPO, Position, VS ????

Question 23

Hyper tension

Answer 23

Sustained—–> 140 systolic > 90 Diastolic

Question 24

Cardiac Issues? Semi-Fowlers

Answer 24

O2, ASA, Nitro, Morphine, Low Na (2 gram), low cal, low anxiety, Troponin Levels Ind. Heart attack

Question 25

High BP??? Cardiac Reduction

Answer 25

ACE Inhibitors, All The “PRIL” Drugs may cause Hyper Kalemia

Question 26

Hypo-Calemia (Skinny Cat)

Answer 26

Edgy, Tetany (muscles), Hyper Reflexia

Question 27

Hyper-Calemia (FAT CAT)

Answer 27

Slow, Drowsy, CNS depression

Question 28

Pacemaker???

Answer 28

Can NOT go below set rate! NO MRI

Question 29

Pulmonary Edema???

Answer 29

TX: Morphine to expand vessles, epi, dig, Dieretics, O2, ABG’s

Question 30

Shock??????

Answer 30

Modified Trendelenburg, (Supine with feet elevated) TX: IV fluids >HR and Resp, < in Bp

Question 31

Cardiogenic Shock?

Answer 31

Fluid overload! TX: Diuretics, Semi Fowlers to High Fowlers

Question 32

COPD Interventions

Answer 32

Corticosteroids, broncho-dialators, Chest Physiotherapy, O2 @ 2L, Expectorants and force fluids, Chest X-Ray & ABG’s

Question 33

Asthma

Answer 33

TX: O2, epinephrine, Broncho-dialators first, then steroids 2nd. Rince inbetween SE: > HR and Anxiety

Question 34

Ventilators???

Answer 34

High alarm, needs suctioned or waer in the ubing..Low alarm LEAK

Question 35

Chest Tube??

Answer 35

Wheelchair? Hemovac can’t be above, best place hand from seat rail between Pt Legs

Question 36

Teburculosis????

Answer 36

PPD for exposure 10mm or more induration, DX: Sputum Sample then xray, TX: Rifampin Once daily on empty belly, Turns secretion orange and Isoniazid give b6 for SE

Question 37

optic neuritis

Answer 37

Central vision lose…

Question 38

Wilms Tumor

Answer 38

On or around Kidneys, do not palpate, or push on

Question 39

Burns????

Answer 39

Push Fluids first 8 to 24 hours, High Protein diet, daily weights, reverse Isolation, pain control, rule of 9, TX: Silvedin

Question 40

S.I.A.D.H (High Specific Gravity)

Answer 40

too much ADH, Edema in trunk, not in limbs, < Electrolytes, > BP

Question 41

Hyper Thyroid???

Answer 41

Graves Disease, Heat intolerance, Hi Vitals, Expothalomos, Agitated, moody, Flushing, Protect with eye drops, hi cal diet

Question 42

Hypo Thyroid???

Answer 42

Cold intolerance, hair loss, Weight gain, fatigue, low vitals, Slow periods, TX: Synthroid on empty belly, Fluids and colace, low cal diet

Question 43

Diabetes Mellitus (glucose not getting into cell)

Answer 43

> Hunger (Polyphagia), >Thirst (Polydipsia), >Urine (PolyUrea) DX: 2 fasting glusose >125 or gtt >200

Question 44

INSULIN….Give at room temp, exp in 30 days

Answer 44

NPO, need IV c dextrose, Give in arm, thigh, belly, Tray or food available?

Question 45

Insulin Peaks

Answer 45

Humalog (SHORT) onset 15 mins, last 4 hours, REGULAR 30mins to 1 hours, last 6 to 8 hours, NPH 1 to 2 hours lasts 18 to 24 hours, No peak, Humulin (Long acting) Onset 4 to 5 hours, lasts 36 hours

Question 46

Hypo Glycemia , <50

Answer 46

Rapid Pulse, then tremors, irritable, restless, excessive hunger and sweating, cold and clammy

Question 47

Cushing’s Syndrome (round moon face/humpback (dowangers)

Answer 47

usually from Long term steroid use, Body holds glucose and sodium, >HTN, slow healing. TX: <Na, FSBS, Infections?, I&O, FX d/t weak bones

Question 48

Addisons disease (lack of cortisone)

Answer 48

FATIGUE! Weight loss, emotional, crave Na, low BP, NVD, <FSBS, Orto HTN, Electrolytes

Question 49

Thyroidectomy????

Answer 49

Trache set on hand, Bleeding? Hoarsness, Calcium Gluconate on hand! SEMIFOWLERS

Question 50

Physical Assessment???

Answer 50

In Order: Inspection (Skin, condition..) Auscultation, Percussion, Palpation..

Question 51

Braden Scale

Answer 51

Pain scale 1-10

Question 52

illeostomy

Answer 52

Liquid stool, >vitamins & Fluids, Check electrolytes

Question 53

Colostomy

Answer 53

Soft formed stool, BODY IMAGE?, HIGH Fiber and fluids