Predictor 1 Review

Question 1

What are the two best indicators of decreased suicide risk?

Answer 1

• long-term personal goals

- family milestones

Question 2

Name the 3 steps for mixing insulins

Answer 2

1. Inject air into the NPH vial w/o inverting the vial or touching the needle to the solution
2. Inject air into the regular insulin vial and withdraw the prescribed dose
3. Draw up the NPH insulin.

Question 3

What is the priority intervention when a chest tube is dislodged?

Answer 3

It must be covered with a sterile occlusive dressing (or something else clean and occlusive if a dressing is not available) to prevent air from entering the pleural cavity

Question 4

In disaster triage, which patients are the lowest priority?

Answer 4

Those with extensive injuries that have poor prognosis even with treatment, i.e. severe neurological trauma

Question 5

When caring for a patient receiving TPN you should monitor for what complication? (not fluid overload)

Answer 5

Hyperglycemia

Look for all the regular s/sx

Question 6

What are the 5 rights of delegation?

Answer 6

1. Right task
2. Right circumstances
3. Right person
4. Right direction/communication
5. Right supervision/evaluation

Question 7

How long can blood products be left at room temperature before a transfusion is started?

Answer 7

No more than 30 mins. If a delay is anticipated, send it back to the blood bank.

Question 8

How often should an ostomy appliance be changed? Why?

Answer 8

every 5-10 days.

Skin irritation can occur if it is changed too frequently.

Question 9

When should an ostomy bag be changed?

Answer 9

When it is 1/3 full.

If the bag is too heavy in can cause leaking and skin irritation as it pulls away from the skin.

Question 10

Does naloxone violate a DNR?

Answer 10

Yes. It is a form of pharmacological resuscitation.

Question 11

Should blood and amphotericin B be given simultaneously?

Answer 11

No. Because the side effects are so similar, wait 1 hour between meds.

Question 12

When must tPA be administered for full effectiveness?

Answer 12

Within 3-4.5 from onset of symptoms.

Question 13

What is priority when faced with an ethical dilemma?

Answer 13

Addressing pt needs.

Afterwards documentation/incident reports/etc. (if necessary)

Question 14

Is a mislabeled lab specimen an adverse event?

Answer 14

Yes. It has the potential to cause harm.

Question 15

If a child suffers a witnessed collapse, after rescue breathing has been performed for 2 minutes and the pulse is <61 and there are signs of poor perfusion, what should you do?

Answer 15

Start compressions. Children with a heart rate <61 and signs of poor perfusion are treated as pulseless.

Question 16

What FHR patterns are associated with a negative contraction stress test?

Answer 16

No late or variable decelerations indicate a negative test.

Question 17

What 2 things should be done before applying AED pads?

Answer 17

1. The chest should be clean and dry (the whole body doesn’t need to be dry)
2. Any meds/med patches should be removed.

Question 18

How high the bed be elevated for pts with ICP?

Answer 18

30 degrees.

Too much more and CPP is decreased.

Question 19

What is the best initial response to parents who refuse treatment for their children?

Answer 19

Assessing the parents’ knowledge of the child’s condition and the need for treatment.

Question 20

What beverages should be avoided with constipation?

Answer 20

Caffeinated beverages.

They promote diuresis which may lead to dehydration and worsening constipation.

Question 21

What is dabigatran (Pradaxa)?

Answer 21

An anticoag med that works by inhibiting thrombin. Pts on this are at risk for increased bleeding.

Question 22

When should Pap testing begin?

Answer 22

21 years, regardless of sexual history

Question 23

When a patient is experiencing restlessness/agitation/new onset anxiety, what is the priority assessment?

Answer 23

Oxygenation as these are signs of hypoxia/PE.

Question 24

Where are aortic valve disorders best heard?

Answer 24

Right sternal border, second intercoastal space

Question 25

What causes nephrotic syndrome?

Answer 25

Glomerular injury

Question 26

What are the 4 characteristics of nephrotic syndrome?

Answer 26

proteinuria, edema, hypoalbuminemia, and hyperlipidemia.

Question 27

What 4 s/sx indicate a complication of Hirschsprung disease?

Answer 27

-fever
-lethargy
-explosive, foul-smelling diarrhea
-rapidly worsening abd distention
These are all signs of Hirschsprung enterocolitis

Question 28

Postop dry heaving/vomiting increases a pt risk for what?

Answer 28

Wound dehiscence and evisceration. It should be treated ASAP.