Passpoint Flashcards
With severe chest pain opioid maybe given. Beside pain relief, why?
Decrease oxygen demands in the heart
Baby falls 3 feet and hits head. Child is awake, crying, and alert. Which action should be taken next…
Neurological exam.
Assess pupils for response.
Lack of response indicates increased ICP
Which will be seen with Acetaminophen OD
Nosebleeds
Nausea/ Vomiting
N/V, anorexia, malaise, pallor (Tylenol)
Nosebleeds, deep/rapid inspiration are seen with Salicylate Acid (Aspirin)
Nurse discovers prolapsed cord upon SVE. Which actions will be taken
Insert indwelling catheter
Posistion is trendelburg
Have clients family call for help
Keep fingers in vag to keep pressure off cord
Prepare to have anesthesia insert epidural
Clip hair from surgical site
Posistion is trendelburg
Have clients family call for help
Keep fingers in vag to keep pressure off cord
The priority is to keep pressure off cord to allow perfusion to baby
Must remain with mom and fingers in vag
What is a nurses priority when the parents bring in a stable child for an OD and parents have the bottle of pills in their hand.
Call poison control
They have the best, up to date information
Sickle cell child with fever and joint aches is in a vaso-occkusive crisis at the ED. Highest priority
Provide fluids
Maintain in isolation
Apply cool compress for joint pain
Adminster antipyretic as prescribed
Provide fluid
Vaso-occulsive Sickle cell criss involves the RBCs clumping together and blocking blood flow. (Causing ischemia & Tissue damage.)
The fluids will dilute the blood.
Warm compress by be provided later. A cool compress will cause more vaso-occulsion
Post brain surgery a client has VS 80/60, HT 129, RR 30
First action
Call neurosurgeon
Place in trendelburg posistion
Consult Neurological Clinical Nurse Specialist
Activate Rapid Response Team
Rapid response team
Trendelburg is usually done with shock but not after brain surgery
Describe proper posistion for defibrillation paddles
Right upper chest below the clavicle
Left lower chest near the mid-axillary line, following the heart’s axis.
DKA in type 1 which is the priority
IV fluid replacement
Insulin
IV fluid replacement
DKA causes dehydration which needs to be corrected first.
Insulin will not circulate if there isn’t enough blood
Which pulse to check during CPR
Carotid
